Introduction
Many women who become surrogates start their journey in a similar way—curious, but unsure if it’s the right path for them.
Some first hear about surrogacy from a friend, while others come across it through research or social media. Often, they begin with questions: Is surrogacy right for me? How does it work? What kind of support will I receive?
The surrogacy journey for some can start with something as simple as having a coffee with a friend who has been through the gestational surrogacy journey herself. For those women who have loved being pregnant but knew their family was complete, surrogacy can be an amazing and fulfilling opportunity. When these women learn about surrogacy, they realized it could be a way to help another family while experiencing the joy of pregnancy again.
If you’re considering surrogacy, this guide will walk you through what being a surrogate really means—from requirements and the journey ahead to support systems, compensation, and frequently asked questions.
Understanding Surrogacy Basics
What is Gestational Surrogacy?
Gestational surrogacy is a partnership between a surrogate and a family who dreams of having a child. The surrogate carries a baby created from another family’s genetic material through IVF. The embryo is carefully transferred to the surrogate’s uterus, allowing her to carry and nurture the pregnancy until birth.
The Society for Assisted Reproductive Technology (SART) reports that gestational surrogacy success rates vary, depending on factors like embryo quality, maternal health, and the clinic performing the procedure. While some studies report success rates as high as 75% when using donor eggs, success is not guaranteed, and individual experiences can differ. Nonetheless, surrogacy is today the assisted reproductive technology with the highest success rate.
According to recent studies, 95% of surrogacy arrangements today are gestational surrogacy, meaning the surrogate is not genetically related to the baby. This creates clearer emotional and legal boundaries for everyone involved.
Who Can Become a Surrogate?
Essential Medical Requirements
To ensure a safe and healthy pregnancy, doctors and agencies generally look for:
- Age between 21-44
- At least one successful, full-term pregnancy
- BMI between 19-35
- Good overall health with no chronic conditions that could impact pregnancy
- Non-smoker, no substance use
- Regular cycles and strong reproductive health
These guidelines protect both the surrogate and the baby. When surrogates meet these requirements, we see the best outcomes for everyone.
The American Society for Reproductive Medicine (ASRM) developed these guidelines based on years of successful surrogacy journeys.
Understanding Legal Requirements
Surrogacy laws vary significantly by state and country. In general, surrogates must:
- Be a U.S. citizen or permanent resident
- Pass a background check
- Have a stable home environment
- Be financially independent
- Have reliable transportation
- Be willing to undergo psychological screening
- Be able to legally sign contracts
These requirements aren’t just for intended parents. They exist to protect surrogates as well—ensuring they are legally covered and fully supported throughout the process.
It’s important to research surrogacy laws in your specific state, as some states have more favorable legal protections for surrogates than others.
The Surrogacy Journey Timeline
Step 1: Initial Screening (1-2 Months, but May Vary)
- Medical records review
- Psychological evaluation
- Background check
- Home assessment
- Medical screening
For some these screenings can seem intimidating, but with the support of a surrogacy agency like Capital surrogacy and a dedicated Case Manager to walk potential surrogates through every step, the surrogacy journey becomes less of a medical process and more like preparing for something truly amazing and life-changing.
Step 2: Finding Your Perfect Match (2-3 Months, but Can Take Longer)
- Sharing your surrogate profile
- Meeting intended parents (virtually or in person)
- Ensuring both sides feel comfortable before moving forward
For some surrogates, meeting with intended parents can feel like reuniting with old friends, where something just clicks.
Step 3: Medical Preparation & Transfer (2-3 Months)
- Medical screening at intended parents’ clinic
- Creating a personalized medication plan
- Securing legal clearance
- The embryo transfer procedure
- Early pregnancy care
Each appointment brings you closer to helping create a family, with surrogacy agencies like Capital Surrogacy, intended families, and clinics there to help every step of the way.
While this timeline represents an estimated average, the process can take longer due to factors such as legal complexities, medical requirements, or finding the right match.
Compensation & Support: A Balanced Perspective
Compensation: Fair Recognition for Your Commitment
Surrogacy is a profound act of generosity, but it is also a significant commitment. Surrogates are fairly compensated for their time, effort, and care. Compensation can vary based on location, experience, and agency.
At Capital Surrogacy, our benefits may include:
- Base compensation: $60,000 (At Capital Surrogacy surrogates set their own base compensation; $60,000 is an average for first-time surrogates with)
- Monthly allowance: $3500 (estimate 14 months)
- Maternity clothing allowance: $500 singleton/$750 multiples
- Embryo transfer compensation: $1,000
- Multiples pregnancy bonus: Additional $7,500
We also offer a more comprehensive list of surrogate compensation offered by Capital Surrogacy.
Many surrogates use this compensation to achieve personal financial goals, such as saving for a home, funding education, or supporting their family.
Your Emotional & Practical Support System
Surrogacy can be both rewarding and emotionally complex.
At Capital Surrogacy every surrogate has a dedicated Case Manager who has firsthand experience with surrogacy and who understands the journey and is available to answer questions, educate about the journey, and so much more.
For some surrogates having someone to call anytime can make all the difference, with Case Managers feeling like friends.
Common Questions About Surrogacy
Will I Feel Emotionally Attached to the Baby?
Most surrogates report feeling fulfilled, not attached. However, emotional experiences can vary.
“Surrogacy is one of the most rewarding things I’ve done in my entire life,” one surrogate noted. “I helped grow a family, and few people can be part of something so life-changing. I’m so excited to be a surrogate again, and it’ll be with Capital Surrogacy.”
Agencies provide counseling and support throughout the journey to help surrogates process any emotions they may experience.
How Long Does the Surrogacy Process Take?
While an average timeline may look like this:
- Screening & approvals: 1-2 months
- Finding a match: 1-3 months
- Legal paperwork: 1-2 months
- Medical prep & transfer: 2-3 months
- Pregnancy: 9 months
It is important to remember that every journey is unique, and delays can occur.
Are There Any Risks?
Surrogacy carries medical and emotional risks, just like any pregnancy. These may include:
- Side effects from fertility medications
- Risks of pregnancy complications
- Emotional challenges related to the surrogacy process
Agencies and medical professionals work closely with surrogates to ensure they receive proper care and support.
Are There States Where Surrogacy is More Difficult?
Yes. While most states have clear laws protecting both surrogates and intended families, some have legal restrictions or uncertain regulations that can make the process more challenging.
States where surrogacy faces challenges include: Louisiana, Nebraska, and Arizona.
Conclusion & Next Steps
Each surrogate’s story is unique. Like Sarah, many women find that carrying a child for another family becomes one of life’s most rewarding experiences.
Surrogacy is a journey that transforms lives, and no surrogate walks it alone. From medical care to emotional support, agencies provide a structured, caring environment to ensure a smooth and positive experience.
Curious if surrogacy is right for you? Let’s chat.
The best way to start is by having a conversation—no pressure, just answers. Connect with a surrogacy specialist today.
