Surrogate Mother How Does It Work? Its Complete Process

For those facing infertility, the journey of surrogacy with a surrogate mother reignites the dream of parenthood as intended parents connect with a gestational carrier through agencies and legal counsel, while Vitro Fertilization (IVF) creates an embryo, a tiny beacon of hope.

The gestational carrier undergoes medical procedures and carries the embryo, nurturing it throughout the pregnancy.

Finally, after delivery, the intended parents hold their child, completing their family – a testament to the beautiful collaboration between medical professionals, the gestational carrier’s gift, and the unwavering desire to build a family.

Surrogacy offers a chance for intended parents to experience the joy of parenthood and complete their families.

Moreover, learn how can you become Surrogate Mother In USA?

surrogate mother process

Who Uses Surrogates And Why?

There are several reasons why individuals or couples might choose surrogacy. Infertility is a leading factor, encompassing conditions like blocked fallopian tubes, low sperm count, or same-sex male couples who desire a biological child.

Medical conditions that prevent a woman from carrying a pregnancy safely, such as a history of severe preeclampsia or weak uterus, may also lead intended parents towards surrogacy. 

Surrogacy offers hope and the chance to build a family for those who might not otherwise be able to experience the miracle of childbirth. Furthermore, surrogates also have pros and cons as well.

Types Of Surrogates

There are two main types of surrogacy arrangements that work: one is traditional and other is gestational. Understanding the differences is key for intended parents.

Traditional Surrogacy

Traditional surrogacy involves the gestational carrier using her own egg. This egg is fertilized through In Vitro Fertilization (IVF) using sperm from the intended father or a donor.

The gestational carrier then carries the resulting embryo throughout the pregnancy and delivers the baby.

However, due to potential legal and emotional complexities, traditional surrogacy is less common nowadays.

Gestational Surrogacy

Gestational surrogacy is the most prevalent type of surrogacy arrangement. Through In Vitro Fertilization (IVF), an embryo is created.

This can be done using the intended parents’ own genetic material (eggs and sperm) or with donor eggs and/or sperm.

The resulting embryo is then transferred to the gestational carrier’s uterus, where she carries the pregnancy to term and delivers the baby.

Gestational surrogacy provides a clear distinction between the genetic and gestational aspects of parenthood.

Key Differences Between a Surrogate And a Gestational Surrogate

The terms “surrogate” and “gestational carrier” are often used interchangeably, but there’s a key difference in their biological connection to the baby born through surrogacy. This table breaks down the distinction:

FeatureTraditional SurrogateGestational Carrier
Egg SourceUses her own eggCarries an embryo created with another woman’s egg (intended mother or donor)
Genetic Link to BabyYes, has a biological connection to the babyNo, has no genetic connection to the baby
Emotional ConnectionMay experience a stronger emotional bond due to genetic linkMay develop a strong bond through carrying the pregnancy
Legal ConsiderationsMore complex legal agreements needed to address parentageClearer legal framework as the gestational carrier has no genetic ties
Prevalence TodayLess common due to potential legal and emotional complexitiesMore common due to clearer genetic and legal separation

How To Choose a Surrogate?

Selecting a compatible gestational carrier is a critical step in the surrogacy journey. Partnering with a well-established surrogacy agency can simplify the process by providing guidance and resources.

These agencies screen potential surrogates for medical history, physical and mental health, and overall suitability.

Intended parents can also work with a lawyer specializing in surrogacy to ensure a legally sound agreement outlining rights and responsibilities for all parties involved.

Also open communication, shared expectations, and a strong support system are key ingredients for a successful surrogacy experience.

The Cost Of Surrogacy (in USA)

In the United States, surrogacy costs can fluctuate depending on several factors. These include the location of the surrogacy process, any necessary medical procedures, agency fees, and legal expenses.

Also a ballpark figure can range from $100,000 to $150,000 or more.  Intended parents should factor in all potential costs when budgeting for surrogacy. 

Some fertility clinics and surrogacy agencies may offer financial programs or payment plans.


Surrogacy offers a powerful path to parenthood for those facing challenges. It’s a collaborative journey involving intended parents, a gestational carrier who selflessly carries the pregnancy, medical professionals, and legal counsel.

By understanding the different types of surrogacy, the selection process for a gestational carrier, and the associated costs, intended parents can feel more prepared to navigate this remarkable path to building their family. 

For a smooth and rewarding surrogacy journey, prioritize open communication, maintain realistic expectations, and build a strong support network.


How does a woman get pregnant with surrogacy?

In surrogacy, the dream of parenthood takes flight for those facing challenges. Intended parents partner with a gestational carrier, a compassionate woman who carries an embryo created through In Vitro Fertilization (IVF). This embryo, a tiny symbol of hope, could be formed with the intended parents’ own genetic material or with donor eggs/sperm. The gestational carrier embarks on a medical journey, nurturing the embryo within her uterus until delivery. This allows the intended parents to welcome their long-awaited child. It’s a beautiful testament to medical advancements and the selfless act of surrogacy.

Is a surrogate baby biologically yours?

The biological connection of a child born through surrogacy depends on the chosen method. In gestational surrogacy, the most prevalent type, the baby has no genetic link to the gestational carrier. The embryo used is created through In Vitro Fertilization (IVF) using either the intended parents’ own genetic material (eggs and sperm) or donor eggs and/or sperm. So, the baby would share DNA with the intended parents, fulfilling their dream of building a family.

What are the risks of surrogacy?

Surrogacy, while an incredible path to parenthood, isn’t without its challenges.  Just like any pregnancy, there are potential health risks for the gestational carrier, such as gestational diabetes or complications during delivery. Intended parents might face emotional hurdles and financial considerations.  Open communication, thorough medical screening, and a supportive network are crucial for managing these risks and ensuring a smooth surrogacy experience.

Do surrogates know the parents?

The level of contact between a surrogate and the intended parents can vary. Some surrogacy arrangements involve open communication and getting to know each other, while others are more limited interactions. Intended parents may desire regular updates and involvement, while some gestational carriers might prefer a more professional approach. Ultimately, the level of contact is decided upon by both parties and outlined in a surrogacy agreement, fostering a comfortable and respectful journey for everyone involved.

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