Surrogacy Agencies that Coordinate Embryo Transfer Logistics and Clinic Partnerships

Ready to hold your baby? We simplify the entire journey. Surrogacy agencies that coordinate embryo transfer manage all medical details. We’ve got you.

Surrogacy is a team effort. Intended parents, the surrogate, and the clinic each play a part, and the agency keeps everyone in sync.

When it comes to the embryo transfer—the moment everything comes together—surrogacy agencies that coordinate embryo transfer logistics and clinic partnerships handle the moving pieces so you can stay focused on becoming parents.

Contact a surrogacy specialist to talk through your next step and how coordination works in real life.

How Do Surrogacy Agencies Coordinate Embryo Transfer Logistics with Fertility Clinics?

Your case manager tracks dates, medications, and approvals so the clinic, surrogate, and intended parents stay aligned. This reduces delays, prevents mix-ups, and keeps the transfer on schedule.

Behind the scenes, your case manager functions like a project lead. They confirm clinic requirements, collect consents, coordinate labs, and keep a master timeline everyone can follow. You get clear updates instead of chasing details.

Coordinating Care with the Fertility Clinic of Your Choice

When you reach out, we first confirm whether you already work with a clinic and whether embryos are created.

You must have existing embryos before you can be formally matched with a surrogate. If you have remaining embryos from a previous IVF attempt, we can usually coordinate their use for surrogacy.

If you don’t have a clinic yet, we can provide you with the names of reputable providers in your state and how to vet fertility clinics to ensure a comfortable fit.

We stay flexible: you choose the clinic; we make the logistics simple. From referral paperwork to appointment planning, your case manager keeps the process moving and expectations clear.

What Happens After Embryos Are Created?

Once your embryos exist, we can officially match you with a surrogate. After both sides say yes, attorneys draft and finalize the gestational carrier agreement.

With contracts complete, the clinic and agency align calendars, confirm medications, and set the transfer date. You’ll know what to expect, when, and why.

We provide a simple timeline you can reference at a glance—no guesswork.

If a lining check suggests more time is needed, or if illness or weather affects travel, we coordinate quick adjustments with your clinic and the surrogate. You won’t have to renegotiate logistics on your own.

How Does Embryo Transfer Work in a Surrogacy Arrangement?

The transfer is the most anticipated day of the medical journey. Our coordination ensures these critical steps happen seamlessly:

Step 1: Medical Clearance

The surrogate completes medical and psychological screening. The clinic issues formal clearance after reviewing her file, which is prepared and submitted by your case manager.

Step 2: Physical Screening

To complete medical clearance, the surrogate will travel to your fertility clinic for an in-person physical screening, which typically includes a full physical exam and ultrasound to assess the uterus.

Your agency coordinates all travel, lodging, and reimbursement for this essential step.

Step 3: Hormone Preparation

The clinic prescribes a lining-prep protocol (commonly estrogen and progesterone). Your case manager tracks start dates, refills, and monitoring appointments and relays results to the clinic.

Step 4: The Transfer

The embryo is placed under ultrasound guidance. It’s quick and typically painless. After brief rest, the surrogate follows clinic instructions for travel and aftercare. We coordinate follow-up labs and the pregnancy test schedule.

Step 5: Post-transfer monitoring

We help schedule beta hCG tests and early ultrasounds, share results with all parties, and keep your next steps clear. If a new attempt is needed, we regroup with your clinic to set a refreshed protocol and calendar.

Learn more about what to expect from the surrogacy timeline.

Who Coordinates the Timeline and Medical Records?

Your agency does. Case managers gather records, verify labs and immunizations, and send everything the clinic needs in the format it prefers.

We maintain a single source of truth for appointments, cycle starts, medication changes, and results. You see the plan, and you see progress.

One dashboard, one point of contact, no crossed wires.

What If the Surrogate and Fertility Clinic Are in Different States?

Distance is common and manageable. Most surrogates are more than willing to travel for screening and transfer to your clinic, and we arrange flights, hotels, and per diem. This travel coordination is always handled by your agency.

If you prefer, embryos can be shipped to your surrogate’s clinic through accredited cryo-couriers, but travel to your clinic is often simpler and keeps your care with your chosen team.

Shipping Checklist (If You Choose This Option)

  • Courier booking and chain-of-custody forms
  • Tank preparation and temperature logs
  • Clinic-to-clinic handoff
  • Immediate confirmation on receipt

What is the Agency’s Role in Financial Coordination for Embryo Transfer?

Coordinating the transfer is about more than just dates—it’s about protecting your financial investment.

Surrogacy agencies that coordinate embryo transfer logistics also manage the financial exchange that powers the medical process.

The agency manages your dedicated escrow/trust account to ensure all transfer-related costs are handled promptly, including the surrogate’s travel expenses, per diem, and medication co-pays or reimbursements per the legal contract.

This precise financial management prevents critical delays caused by reimbursement friction, ensuring the surrogate is never out-of-pocket and the cycle stays on schedule.

Why Working with an Agency Experienced in Fertility Clinic Coordination Matters

Experience smooths the path. Surrogacy agencies that coordinate embryo transfer that have deep clinic relationships know preferred forms, timelines, and points of contact.

We’ve worked with many intended parents whose journeys have involved reputable providers across the country. This means we have deep insight into what makes a clinic surrogacy-friendly.

That familiarity speeds scheduling, reduces rework, and helps anticipate next steps—especially if plans change. You get steadier communication and fewer surprises.

We’ve coordinated with respected clinics nationwide; we’ll meet your team where they are.

How American Surrogacy Supports You Through the Medical Process

From the first call to the beta test, you’re not carrying this alone. We:

  • Offer guidance on what to look for when selecting a fertility clinic.
  • Manage records, travel, and schedules for screening and transfer.
  • Keep you updated with plain-language timelines and next steps.
  • Offer contingency planning if a cycle is postponed or a transfer isn’t successful on the first try.

If you’re early in IVF, we can help you line up providers so matching and medical prep work together—not in conflict.

Ready for clear coordination and steady support? Contact a surrogacy specialist.

Contingencies and What-Ifs

If the transfer doesn’t stick: We debrief with your clinic, review protocol options, and help you decide on the next attempt without losing momentum.

If travel is disrupted: We hold backup itineraries, coordinate telehealth where appropriate, and protect critical appointments on the calendar.

If you change clinics: We request and transmit complete records, confirm compatibility with your surrogate, and rebuild the schedule quickly.

Quick FAQs

Do we need embryos before matching? Yes. You can browse and select a surrogate, but you must have embryos before the match can be made official.

Can we keep our current IVF doctor? Yes. We coordinate with your team and set up local monitoring for the surrogate.

How many embryos should we plan to transfer? Your clinic will guide you; many recommend single-embryo transfer for safety.

Ready to Start?

Becoming parents is the goal. Coordination is our job. When you’re ready, we’ll connect the people, plans, and dates that bring your transfer to life.

Talk with a specialist today to start your surrogacy journey.

Understanding the Financial Implications of Multiple Embryo Transfer Failures in IVF

The financial implications of multiple embryo transfer failures are severe. Convert your $75k–$150k loss into a predictable, guaranteed surrogacy journey.

You’ve been trying, and each failed embryo transfer exacts a crushing emotional and financial toll.

The accumulated costs from procedures, medication, and lost time add up much faster than anyone anticipates.

Fill out our simple form now to learn more about the costs involved in surrogacy and how they contribute to helping you become parents faster.

If you’re asking if it’s time to stop pursuing IVF for a more predictable path, you’re asking the right question. Let’s weigh the costs of continued failure against the stability of surrogacy.

The Real Financial Implications of Multiple Embryo Transfer Failures in IVF

Many Intended Parents who have endured two to three full failed IVF cycles (including retrievals) and multiple frozen transfers realize they have already spent between $75,000 and $150,000.

That is often the lower range of a full surrogacy journey, yet they remain without a baby and without a guarantee of future success.

Know the Starting Investment: The average cost of one full IVF cycle (including egg retrieval, lab work, and necessary medications) typically runs between $15,000 and $30,000. That’s just the starting point.

The core problem is the speed at which costs stack up after that initial investment:

  • Repeated transfer attempts: Each individual frozen embryo transfer (FET) runs $3,000 to $7,000, plus required medication protocols and monitoring appointments adding another $3,000 to $5,000 per cycle.
  • Multiple egg retrievals: If you need further egg retrievals, add $12,000 to $15,000 for each one, pushing the total past $100,000 much faster than you ever thought possible.

The Financial Trap: Paying for Uncertainty

The most devastating financial implication is this: you are paying enormous sums for a process with decreasing odds of success, and without an ultimate guaranteed outcome.

At this crossroads, the unpredictable and potentially endless cost of continued IVF must be contrasted directly with the predictable, structured investment of surrogacy.

Why IVF May Not Be Working—Even If You Have Healthy Embryos

If your fertility specialist keeps telling you the embryos look perfect after yet another failed transfer, the sense of hopelessness is understandable.

The urge to scream, to understand why something that looks perfect on paper keeps failing—it’s overwhelming.

Embryo quality matters, but it’s not the whole story. Even genetically normal embryos with beautiful development patterns can fail to implant or result in early pregnancy loss for reasons that doctors still can’t always predict or fix.

Why Your Healthy Embryos Keep Failing

  • Severe Uterine Issues: Uterine conditions like adenomyosis, advanced endometriosis, or significant fibroids can create an implantation environment where success is nearly impossible.
  • Immune System Response: For some, the immune system treats the embryo like a foreign invader. While certain immune factors are treatable, many are not, regardless of aggressive protocols, supplements, or perfect adherence to instructions.
  • Maternal Age and Cellular Quality: Maternal age impacts egg quality beyond genetics. Cellular function, metabolic capacity, and the embryo’s ability to develop post-transfer all decline in ways that testing cannot measure or fix.
  • Subtle Underlying Conditions: Blood clotting disorders, chronic inflammation, and subtle hormonal imbalances can derail the transfer process. Although these issues are treatable, success is not guaranteed.

When There’s No Answer At All

Sometimes there isn’t a clear explanation for why this keeps happening to you. “Unexplained infertility” is the label doctors use when they can’t figure out why your transfers keep failing.

Without clear answers, you’re left weighing whether to keep trying the same approach or consider alternatives that work around these obstacles entirely.

Should We Try One More Cycle or Move to Surrogacy?

This is probably the hardest decision you’ll face after everything you’ve already been through.

I wish I could tell you there’s one right answer, but there isn’t. However, there are ways to think through your specific situation with clarity instead of just clinging to hope because you’re terrified of giving up.

What You’ve Already Invested

Sit down and add up what you’ve spent on IVF so far. Everything—medications, procedures, genetic testing, all those extra interventions your doctor suggested.

Now compare that to what a complete surrogacy journey costs. A lot of people are genuinely shocked when they realize they’re already halfway to surrogacy costs, but they’re not anywhere near the same chance of actually holding their baby.

Your Medical Reality Check

Has your doctor actually identified something specific and treatable that would improve your next cycle? Or are they suggesting “one more try” without a clear reason why this time would be different from the last three times?

That distinction matters so much more than doctors want to admit.

The Emotional Calculation

Failed transfers take a toll that your bank statements can’t capture. Your mental health is suffering.

Your relationships are strained. If thinking about another failed cycle makes you feel physically sick, that’s real information about where you are emotionally.

Your emotional reserves aren’t infinite, even though you’ve been acting like they are.

IVF vs. Surrogacy: A Cost Comparison After Multiple Failures

One full IVF cycle with egg retrieval: $12,000 to $30,000, depending on your clinic and where you live.

Three cycles—pretty common for people over 35—puts you at $45,000 to $105,000 in cumulative costs.

Failed frozen transfers add up at $3,000 to $7,000 per attempt, plus meds and monitoring. Three of those can hit $20,000 to $35,000 before you even realize it.

Most of us who’ve been through this end up spending $75,000 to $150,000 on IVF over several years without ever achieving a successful pregnancy.

Without ever getting to meet our baby.

What Surrogacy Actually Costs

A complete surrogacy journey through American Surrogacy runs $187,500 to $202,500 using our Limited Risk program.

That includes comprehensive support and a much higher chance of bringing home your baby because of how thoroughly we screen surrogates. Here’s where it gets interesting, though.

The Probability Factor Everyone Ignores

First-time embryo transfers with a carefully screened surrogate? 60-75% chance of working per transfer. Compare that to 20-40% for IVF, depending on your age and other factors.

So let’s say you have a 25% shot per IVF cycle and end up needing four cycles at $25,000 each. Spending $100,000 gets you a cumulative 68% chance of bringing home your baby.

With surrogacy at around $190,000, you’re getting a 70-75% chance per transfer, and many programs guarantee an outcome or refund your money.

Yes, you’re paying more upfront. But you’re buying predictability and odds that are higher than continuing IVF instead of just spending money on hope.

How Surrogacy Can Offer a Predictable Path Forward

After years of unpredictable IVF outcomes, certainty starts to matter as much as anything else.

Maybe even more. Surrogacy lets you use your existing genetically-tested embryos with someone who has proven fertility. That combination changes the probability equation entirely.

How Screening Changes Your Odds

We only work with surrogates who’ve already carried at least one healthy pregnancy to term.

They have proven fertility, excellent health, and have passed comprehensive medical and psychological evaluations. Less than 2% of potential surrogates pass our screening process.

That’s not us being picky for no reason. It translates directly to better outcomes for you.

Instead of hoping this cycle will somehow work despite the same underlying issues that caused all your previous failures, you work with someone whose body has already proven it can carry a pregnancy to term.

Learn more about why screening matters in your family building journey.

Knowing What You’re Paying For

With surrogacy, you know the total cost range upfront. Our Limited Risk program guarantees you’ll bring home a baby or receive a significant refund.

That removes the awful uncertainty of spending $150,000+ on IVF with no promise you’ll ever actually become parents. There’s no more gambling. Just investing in something with real guarantees.

What’s Included in the Cost of Surrogacy (and What’s Not)

When you’re making financial decisions this big, you deserve full transparency about where your money goes.

No surprises. No hidden fees showing up later. Our Limited Risk program runs $187,500 to $202,500. That’s comprehensive—here’s the breakdown of what’s included and what you’ll pay separately.

What the Program Fee Covers

  • Finding and vetting your surrogate: Complete screening and qualification—medical, psychological, personal history, everything. We only match you with surrogates who meet strict standards. Plus all the marketing efforts to recruit high-quality candidates in the first place.
  • Financial guarantees: Protection through our guaranteed outcome structure. Bringing home a baby or receiving a significant refund is guaranteed. Period.
  • All surrogate-related costs: Her base compensation, monthly allowances, all pregnancy-related expenses. Medical coordination and insurance fees, including pregnancy insurance for your surrogate if she needs it.
  • Legal protection: All legal fees for contract development and establishing your parentage. No surprise legal bills.
  • Full support throughout: Agency support from matching through delivery, available 24/7 when you need us. Complete administrative services and accounting throughout your journey so you’re not managing spreadsheets while trying to become parents.

What You’ll Pay Separately

  • Creating or transferring embryos: $3,000 to $7,000 if you’re using existing embryos, or $15,000 to $25,000 if you need to create new ones. Using donor eggs or sperm adds to this cost.
  • After birth: The baby’s medical expenses aren’t included—that’s the newborn hospital care after delivery.
  • Travel: Travel and lodging for key appointments and the birth itself will be your responsibility. Being there for these moments matters, and those costs are separate.

It’s a substantial investment, yes. But it’s one with a clear endpoint and success rates higher than continuing IVF after you’ve already failed multiple times.

Financing Options After IVF Failure: What You Need to Know

Affording surrogacy is more accessible than you might think right now, especially after you’ve already been pouring money into IVF.

Fertility-Specific Financing

We’ve partnered with Sunfish, a company that specializes in surrogacy loans.

They get the financial dynamics of family-building in a way regular banks don’t, and they offer flexible payment plans designed for people like you who’ve already invested heavily in IVF.

Traditional Financing Routes

Personal loans from banks or credit unions usually beat general consumer credit on interest rates.

Some people use 401(k) loans to borrow against their retirement savings without penalties. This requires serious thought about long-term impacts, obviously. But it’s an option that’s helped a lot of people.

Health Savings Account funds can sometimes cover surrogacy-related medical expenses—check yours to see what applies.

Grants and Alternative Funding

Organizations offer grants and scholarships for family-building, particularly for LGBTQ+ families, cancer survivors, and people with specific medical conditions. They’re competitive, but they exist and they’re worth applying for.

Redirecting Your IVF Budget

Here’s something that clicks for a lot of people: the money you would keep spending on more IVF cycles can be redirected toward surrogacy instead.

You’re essentially converting those ongoing monthly costs into a structured payment toward something with way better odds of actually working. You were going to spend the money anyway.

This way, you’re spending it on something that has a real chance of ending with you holding your baby.

Is Surrogacy the Next Step? Let’s Talk.

You’ve carried the financial implications of multiple embryo transfer failures and the emotional weight long enough.

If you are questioning whether to endure another unpredictable IVF cycle or choose a proven path, we are here to talk.

Reach out to a surrogacy specialist today to get more financial insight into your surrogacy journey.

The smartest choice, financially and emotionally, is the one that finally leads to your baby.

What Happens to Escrow Funds if a Surrogacy Agreement Terminates Early?

Unused escrow funds typically return to intended parents if surrogacy ends early. Learn timelines, protections, and refund processes.

Surrogacy represents a significant financial commitment, and the possibility of an arrangement ending before a baby arrives can feel overwhelming.

The good news is that most surrogacy agreements include clear provisions for refunding unused escrow funds to intended parents.

Understanding how escrow works, what protections exist for your money, and how agencies like American Surrogacy manage these funds can help you move forward with confidence.

Get answers to your specific questions about surrogacy costs and fund management. Contact us today.

What Happens to Escrow Funds if a Surrogacy Agreement Terminates Early?

When a surrogacy agreement ends before embryo transfer or birth, any unused funds held in escrow typically return to the intended parents. The exact timeline and process depend on your surrogacy contract and gestational carrier agreement.

Most professional surrogacy agreements spell out when funds can be released back to intended parents, like when a surrogate is medically disqualified before transfer, when either party exercises their right to terminate, or when both parties mutually agree to end the arrangement.

The disbursement process usually happens within 30 to 60 days after termination, though this varies based on your contract and whether there are disputed expenses. Your surrogacy attorney can walk you through the specific refund provisions in your agreement.

Some escrow funds may have already been distributed for completed services, like surrogate screening fees, insurance premiums, or legal costs, and those typically aren’t refundable.

But compensation payments, medical expense reserves, and other milestone-based funds that haven’t been earned or spent should return to you.

How Escrow and Fund Management Work in Surrogacy

Escrow serves as a neutral holding space for surrogacy funds. Intended parents deposit money upfront, and those funds are distributed as the surrogate reaches specific milestones like the embryo transfer, pregnancy confirmation, delivery, and so on.

This system protects everyone involved. Surrogates know their compensation is secure. Intended parents know their money won’t be released until agreed-upon steps are completed.

You have options for how these funds are managed. Some intended parents work with third-party escrow companies.

Others choose agency-based fund management, where the surrogacy agency handles deposits and disbursements directly.

American Surrogacy’s Accounting Services

At American Surrogacy, we offer in-house fund management with the same accountability and milestone tracking as third-party escrow—but with tighter integration into your journey timeline.

We’ve successfully managed client funds for years across both our surrogacy and adoption programs.

The key difference between escrow and agency fund management often comes down to personal preference and state requirements. Both approaches work well when managed by experienced professionals.

Do All States Require Escrow for Surrogacy?

Not all states mandate that surrogacy funds be held in a licensed escrow account, though some have specific legal requirements.

States like Washington have detailed statutes governing gestational surrogacy agreements and may require escrow provisions.

Even without strict mandates, most surrogacy professionals—attorneys, agencies, and fertility clinics—strongly recommend using managed fund systems. They create clear paper trails, reduce payment conflicts, and ensure surrogates receive compensation reliably.

Your surrogacy attorney should know your state’s surrogacy laws and can advise whether escrow is legally required or simply best practice.

In states without explicit escrow requirements, you’ll still want to choose a reputable fund management option for financial security and peace of mind.

Agency Fund Management vs. Third-Party Escrow: What’s the Difference?

Third-party escrow agents are independent companies that hold and distribute funds for surrogacy arrangements.

They operate as neutral parties with no connection to your agency or fertility clinic. Agency-based fund management functions similarly but keeps your funds in-house with enhanced protections.

We track the same milestones, process payments on the same schedule, and maintain the same oversight—without moving your funds to an outside entity. This helps protect you against financial losses like what happened with SEAM.

Some intended parents still prefer the added separation of third-party escrow. Both models work—what matters is your comfort with the structure and confidence in who’s managing your money.

Whichever route you choose, look for transparent accounting, regular statements, and clear communication. You should never feel uncertain about where your money is or when it’s moving.

How American Surrogacy Protects Your Funds—Even in Crisis

When SEAM Surrogacy Escrow Account Management, a widely used third-party escrow provider, was discovered to have embezzled millions of dollars from client accounts in 2023, it sent shockwaves through the surrogacy community.

Families who trusted SEAM suddenly faced the devastating reality that their money was gone.

American Surrogacy was among the agencies affected, but we made an immediate decision: we reimbursed every impacted family from our own operating budget. Our clients didn’t lose a cent.

We did this because we believed agencies had a responsibility to stand by their clients. Unfortunately, not every surrogacy program took this approach. Some families working with other agencies are still fighting to recover their losses.

This experience reinforced why we continue offering in-house fund management alongside third-party escrow options.

What to Look for in a Surrogacy Escrow Agreement

Every surrogacy contract should include specific language about fund management and what happens to unused escrow in various scenarios. Before you sign, make sure your agreement addresses these key points:

Refund Policies for Early Termination

The contract should clearly state that unused escrow funds will be returned if the arrangement ends before completion. Look for language specifying timelines, typically 30 to 60 days, and any conditions that might affect refunds.

Disbursement Authority and Milestone Definitions

Who has the authority to release funds, and under what circumstances? Your agreement should define each payment milestone and explain what documentation is needed before funds can be distributed.

Handling of Disputed Expenses

Your contract should outline how disputes are resolved and whether funds can be withheld pending resolution.

State-Specific Legal Requirements

If your state mandates escrow accounts or imposes specific regulations on fund management, your agreement needs to reflect those requirements.

Reserve Fund Provisions

Many agreements include reserve amounts to cover unexpected medical expenses. The contract should explain how much is held in reserve, when it can be used, and what happens to it if those expenses never materialize.

Your surrogacy attorney is your best resource for understanding these provisions and making sure your agreement protects your financial interests.

Having an experienced lawyer review your contract is one of the most important investments you’ll make in your surrogacy journey.

Protect Your Surrogacy Investment — Talk to Us About Secure Fund Management

Understanding what happens to escrow funds if a surrogacy agreement terminates early is part of being an informed, prepared intended parent.

At American Surrogacy, we’ve built our fund management systems around transparency, accountability, and protection for your investment.

If you’re ready to explore surrogacy with an agency that takes your financial protection seriously, we’re here to answer your questions.

Fill out our simple form today to get answers to your escrow questions.

Are There Surrogacy Agencies That Provide Legal Coordination Across State Lines?

Surrogacy across state lines is possible with agencies that handle legal coordination to protect both surrogates and intended parents.

American Surrogacy provides legal coordination across state lines by connecting intended parents and surrogates with qualified attorneys in both parties’ states.

Our coordinated approach helps every journey move forward smoothly, avoiding the legal complications and delays that can occur when working with less experienced agencies.

Our specialists can guide you through cross-state legal coordination and connect you with trusted attorneys. Fill out our form today.

The Role Surrogacy Attorneys Play in Interstate Surrogacy

Surrogacy attorneys are the foundation of a legally secure journey. They protect the rights of intended parents and surrogates, draft and review gestational carrier agreements, and establish legal parentage while navigating the specific laws of each state involved.

In cross-state surrogacy, legal coordination becomes even more important. Your attorney needs to understand your state’s laws, while your surrogate’s attorney must know her state’s requirements.

These attorneys work together to ensure the contract complies with both jurisdictions.

While attorneys handle the legal work, we facilitate the connections. We maintain a nationwide network of trusted surrogacy attorneys in both states. Our coordination prevents mismatched legal advice and keeps your journey on track.

Understanding Surrogacy Laws in Different States

Surrogacy laws vary widely from state to state. Some states are considered “surrogacy-friendly,” with clear legal pathways for establishing parental rights before or immediately after birth.

Others have restrictive laws or no specific surrogacy legislation at all.

For example:

When you and your surrogate live in different states, you’ll need attorneys who understand both states’ laws. This is where working with us makes all the difference.

We’ve spent years building relationships with legal professionals across the country who understand the nuances of interstate surrogacy.

Learn more about surrogacy laws in your state.

What Happens If Your State Has Restrictive Surrogacy Laws?

If you live in a state with restrictive or unclear surrogacy laws, don’t worry, you still have options.

Our team specializes in helping intended parents and surrogates navigate these situations, making sure every match is both legally sound and emotionally rewarding.

States Where We Cannot Match Surrogates

There are a few states where compensated surrogacy is either prohibited or so heavily restricted that we’re unable to work directly with surrogates who reside there.

  • Louisiana: Compensated surrogacy is illegal.
  • Nebraska: Nebraska’s surrogacy laws are unusually complex, and any compensated surrogacy contract is considered invalid under state law.

In both states, intended parents may still work with us and match with surrogates in more legally supportive states, ensuring their journey remains secure and compliant.

States Where We Can Work, But Not Match Within the State

There are also states where we can work with both surrogates and intended parents, but not match them with one another within that same state.

Both of these states have laws that make compensated surrogacy contracts unenforceable.

This doesn’t make surrogacy impossible, it just means we take extra care to protect everyone by coordinating matches across state lines in surrogacy-friendly jurisdictions.

What Is a Gestational Carrier Agreement—and Why It’s Essential

A gestational carrier agreement (GCA) is the legal foundation of every surrogacy journey.

It’s a detailed contract that outlines each party’s rights, responsibilities, expectations, and decisions throughout the process, including compensation, medical choices, and what happens before, during, and after pregnancy.

Why This Agreement Matters

For intended parents, the GCA ensures your parental rights are clearly defined and legally protected. It establishes how medical and financial decisions will be handled and gives you confidence that your family-building process is secure from start to finish.

For surrogates, the agreement guarantees fair compensation, outlines medical expectations, and protects your rights and well-being throughout the pregnancy. It also ensures you have a clear understanding of your role and support at every step.

How Cross-State Laws Affect Your Agreement

When an intended parent and surrogate live in different states, the GCA must meet the legal requirements of both. For example, some states require post-birth parentage orders or additional legal steps before parentage can be confirmed.

Your attorney will make sure your agreement reflects both states’ laws so that your parental rights are recognized everywhere they need to be — and your surrogate’s protections remain strong and enforceable.

How We Help Both Sides Find the Right Attorney

At American Surrogacy, we’ve worked alongside reputable surrogacy attorneys nationwide who specialize in these cross-state arrangements.

While we don’t have official partnerships, we can share names of trusted attorneys in your state so that both the intended parents and surrogate can independently select their legal representation.

Once each party has an attorney, those professionals collaborate to draft and finalize the GCA. Our team stays involved throughout the process — helping coordinate communication, track progress, and ensure everything moves forward smoothly and transparently.

How American Surrogacy Can Help You Find an Attorney for Surrogacy Across State Lines

At American Surrogacy, we’ve spent years working alongside reputable surrogacy attorneys across the country.

Our experience with cross-state arrangements means we understand how complex the legal side can feel and we’re here to make it easier.

While we don’t maintain official partnerships, we can connect you with trusted legal professionals in your state so you can research and choose the attorney who’s the best fit for you.

1. Guidance to Qualified Surrogacy Attorneys

We’ll share names of experienced surrogacy attorneys in both your state and your surrogate’s state.

These professionals understand the ins and outs of interstate surrogacy laws and can make sure your contract is fully compliant and protective of everyone involved.

2. Coordination That Keeps Things Moving

Your attorney handles the legal details, but our team stays in the loop — communicating with both attorneys and your medical team to keep everything organized and on schedule.

3. A Legally Prepared, Low-Stress Journey

Connecting you with experienced attorneys from the start helps you avoid unnecessary delays and protect your rights. Our process is designed to keep your surrogacy journey legally sound and emotionally smooth.

When you work with American Surrogacy, you don’t have to navigate the legal side alone, you’ll have a team that believes in preparation, transparency, and helping families move forward with confidence.

Ready for Legal Clarity? Let Us Help You Start Your Journey

Legal coordination across state lines doesn’t have to be overwhelming. With the right partner, you’ll have access to experienced attorneys, clear guidance, and a team that keeps your journey moving forward.

Your family’s future is waiting. Fill out our contact form today to get personalized support and take the first step toward your surrogacy journey with confidence.

How to Plan for Unexpected Costs in Surrogacy — and Protect Your Peace of Mind

We break down the true costs of surrogacy so you can plan confidently, avoid surprises, and focus on what really matters—your family’s future.

Many intended parents worry about unexpected expenses, but here’s the truth: with transparent guidance and smart financial planning, you can protect yourself from surprises.

Working with an agency that offers transparent cost breakdowns and financial protection programs means you can move forward toward parenthood without sacrificing your financial security.

Fill out our contact form to connect with a surrogacy specialist who can help you plan confidently and understand the real costs, expected and unexpected, of your journey.

What Are Unexpected Costs in Surrogacy?

Unexpected costs are expenses that arise during your journey that you hadn’t planned for in your initial budget. These aren’t necessarily “surprise” fees. They’re often legitimate expenses that can occur when circumstances change.

Common unexpected costs include:

  • Failed matches requiring you to restart your search for a new surrogate
  • Additional IVF cycles when the first transfer doesn’t result in pregnancy
  • Specialized medical care if your surrogate experiences complications
  • Extended legal processesin complicated interstate surrogacy cases
  • Travel expenses that exceed initial estimates

The challenge isn’t that these costs exist. It’s that many agencies don’t prepare families to understand when they might occur or how to budget for them. That lack of transparency can turn an already emotional journey into a financial crisis.

Hidden vs. Unexpected Surrogacy Costs: What’s the Difference?

Not all surprise expenses are the same. Understanding the difference helps you evaluate agencies and protect your budget.

Hidden costs are expenses that should be disclosed upfront but aren’t clearly explained. Many agencies bury these fees in fine print or exclude them from initial cost estimates:

  • Rematching fees
  • Certain legal costs
  • Medical expenses outside standard coverage

Unexpected costs are variable expenses that may or may not occur depending on your journey:

  • Medical complications requiring specialized care
  • Multiple embryo transfers
  • Insurance gaps for specific procedures

Hidden costs represent a transparency problem. Unexpected costs represent the natural variability of surrogacy. A good agency will help you prepare for both.

Most Common “Hidden” Costs of Surrogacy

When reviewing agency estimates, watch for these commonly overlooked expenses:

  • IVF and embryo creation. Many surrogacy cost estimates focus on agency and surrogate compensation but don’t fully account for fertility clinic fees, which can range from $15,000 to $30,000 per cycle. If you need multiple transfers, these costs multiply quickly.
  • Donor eggs or sperm. If you’re using donor eggs, expect to add $25,000 to $30,000 for a fresh donor egg cycle, according to multiple fertility centers and egg donor agencies. Many families don’t realize these expenses often sit outside the standard agency fee structure.
  • Newborn medical care. Your baby’s hospital costs may not be fully covered by the surrogate’s insurance policy, depending on the coverage and the specific policy terms.
  • Out-of-network medical costs. If your surrogate needs to see specialists or receives care from providers outside her insurance network, those expenses typically fall to you as the intended parent.
  • Intended parent travel and lodging. Most estimates include one or two trips for medical appointments and the birth. But what if complications require additional visits? Travel costs add up fast, especially if you’re flying across the country.

The solution isn’t to avoid these costs. It’s to work with an agency that’s upfront about what’s included in their estimate and what you’ll need to budget separately.

How American Surrogacy Protects You from Unexpected Surrogacy Costs

You deserve clarity from day one. Our full-service programs are designed with financial transparency and protection built in.

Our Limited Risk Program provides financial protection against specific risks. This program protects you from financial loss related to:

  • Surrogate screening
  • Matching
  • Refunds for specific case management services when a journey doesn’t work out

These protections help maintain your budget and allow you to continue pursuing surrogacy even after unexpected disruptions occur.

We provide detailed cost breakdowns during your initial consultation. You’ll understand exactly what’s covered and what variable costs you should prepare for. Our specialists walk you through scenarios like multiple transfers or donor egg costs.

Our rigorous surrogate screening process minimizes risks before matching begins.

We never match families before a candidate has been thoroughly screened, including a psychological evaluation. This reduces the likelihood of costly complications later.

What Happens If the Journey Doesn’t Work Out?

“What if this doesn’t work? Will I lose everything I’ve invested?”

This question weighs heavily on intended parents. The answer depends on which program you choose.

Both programs may offer refunds of certain agency fees if your journey doesn’t result in a baby and you have no remaining embryos.

Limited Risk Program

Our most comprehensive and worry-free option. The Limited Risk Program includes vital financial protection and unlimited matching attempts, giving you peace of mind throughout your surrogacy journey.

If a pregnancy isn’t achieved after multiple transfers, you may also qualify for refunds of certain fees.

Foundation Program

A flexible and more affordable choice. The Foundation Program offers lower upfront costs, with additional fees only if a rematch becomes necessary.

It’s a good fit for families seeking to begin their surrogacy journey with a more budget-conscious approach.

Learn more about our full-service programs and how they can protect and fast-track your path to parenthood.

How to Budget for Variable Surrogacy Expenses

Even with a transparent agency, surrogacy involves some variable costs. Here’s how to prepare:

  • Review your agency’s contract carefully. Don’t just skim the cost estimate. Read the full contract. Look for language about what happens in specific scenarios: failed transfers, early termination, rematching, or surrogate complications.
  • Ask questions before signing anything. If something isn’t clear, ask. Our specialists are here to explain every line item and help you understand best-case and worst-case cost scenarios.
  • Create a separate savings buffer. Plan for 10-20% above your agency’s estimate to cover variable costs like additional IVF cycles, donor services, or unexpected travel. This cushion helps you avoid panic if circumstances change.
  • Consider financing options. Programs like Sunfish offer surrogacy-specific financing with manageable monthly payments. Learn more about surrogacy financing programs to explore your options.
  • Understand your insurance options. Review surrogacy insurance for intended parents to see what policies might cover newborn medical costs or surrogate health expenses not covered by her primary insurance.
  • Build in timeline flexibility. Remember that avoiding long wait times often requires flexibility in other areas. Rushing the process can sometimes lead to matches that don’t work out, costing more in the long run.

Questions to Ask Any Surrogacy Agency About Cost Transparency

Before choosing an agency, protect yourself by asking these questions:

  • “What’s included in your base agency fee, and what costs extra?”
  • “What happens financially if our match fails before pregnancy?”
  • “Are rematching fees included, or do we pay separately?”
  • “What refunds are available if our journey doesn’t result in a baby?”
  • “How do you handle cost overruns if our surrogate has medical complications?”
  • “What variable costs should we budget for beyond your estimate?”
  • “Do you offer financial protection programs or guarantees?”

An agency committed to transparency will answer these questions clearly and provide detailed documentation to back up their responses. If an agency seems evasive or downplays potential costs, that’s a red flag.

Take the Guesswork Out of Surrogacy Costs

Planning for a surrogacy journey shouldn’t mean choosing between your financial security and your dream of becoming a parent.

When you work with an agency that prioritizes transparency and offers financial protection programs, you can move forward with confidence, knowing you’re protected from the unexpected.

Fill out our contact form to connect with our surrogacy specialists. We’ll walk you through your options and help you create a financial plan that actually works for your family.

How Much Money Should I Have Upfront Before Starting the Surrogacy Process?

Upfront fees aren’t just costs—they’re investments in faster matches and qualified surrogates. See what you’re actually paying for.

You could need anywhere from $38,000 to $87,000+ upfront to begin your surrogacy journey.

But before that number overwhelms you, understand this: what you pay upfront directly shapes how quickly you match with a surrogate, how thoroughly she’s been screened and how protected you are if complications arise.

The right upfront investment isn’t just a fee. It’s the foundation of a smoother, faster path to parenthood.

Have questions about your surrogacy journey? Fill out our contact form to connect with our surrogacy specialists.

What Does the Upfront Surrogacy Fee Cover?

Your activation fee isn’t arbitrary. It funds the critical infrastructure that makes safe, efficient matching possible.

At American Surrogacy, your upfront payment covers:

  • Program Activation: This grants you immediate access to our network of pre-screened surrogates and begins your profile creation process.
  • Comprehensive Surrogate Screening: Every surrogate undergoes medical, psychological, and background evaluations before you meet her. This means when you’re introduced to a potential match, she’s already been vetted. No surprises, no wasted time.
  • Targeted Marketing and Outreach: We actively recruit qualified surrogates in your region through digital campaigns, community partnerships, and referral networks. This proactive approach keeps our surrogate pool robust and reduces your wait time.
  • Parent Protection Safeguards: Our Limited Risk Program includes financial protections if your match doesn’t work out, covering surrogate screening, matching, and specific case management services. This helps you continue your journey without repeating costly steps.

Think of the upfront fee as the engine that powers everything else. Without it, we can’t maintain quality screening standards or invest in the marketing needed to find surrogates quickly.

Why Screening and Marketing Matter in an Upfront Fee

The agencies with the shortest wait times are the ones investing heavily in two things before you ever join their program: thorough screening and proactive surrogate recruitment.

That’s how we’re able to help most intended parents in our Foundation Program match within 1 - 4 months and many match even faster.

Here’s how these investments directly impact your wait time:

  • Screening prevents delays. When surrogates are medically and psychologically cleared in advance, you avoid the heartbreak of matching with someone who later fails their evaluations.
  • Marketing reduces wait times. Our robust surrogate recruitment strategy means we’re constantly adding qualified candidates to our network.

Agencies that delay these upfront investments might seem cheaper initially. But they often leave parents waiting two years or more, and facing unexpected costs when matches fall through due to inadequate screening.

Why Some Agencies Don’t Charge Upfront – and What That Means for You

Some surrogacy agencies advertise lower upfront costs or defer fees until after you’ve matched. Sounds appealing, right?

Reality is, when agencies don’t invest in screening and marketing infrastructure upfront, they’re passing the risk to you.

These agencies often:

  • Match you with surrogates who haven’t completed full medical or psychological screenings
  • Maintain smaller surrogate pools, leading to longer wait times
  • Charge hidden fees later in the process when complications arise
  • Offer minimal parent protection if your match falls through

You might save money initially, but you’ll likely pay more in both dollars and stress when delays pile up. Or when you need to start over with a new surrogate.

Quality upfront investment means quality outcomes. That’s why our surrogate screening process is comprehensive before matching, not after.

What If My Surrogacy Match Falls Through?

We recognize that surrogacy involves uncertainties. That’s why we’ve built safety nets into our full-service programs to protect both your investment and your peace of mind.

Foundation Program

This program has a lower upfront cost and traditional fee structure. It offers financial flexibility, but places more risk on the family if a match falls through or the journey changes unexpectedly.

Your costs can increase if multiple transfers are required or if you need to rematch with another surrogate.

Limited Risk Program

This program is designed to protect you from financial loss related to surrogate screening, matching, and specific case management services when a journey doesn’t work out.

These protections help maintain your budget and allow you to continue pursuing surrogacy even after unexpected disruptions occur.

Surrogacy Agencies Can Help You Plan Financially for the Journey Ahead

Quality agencies don’t just collect fees. They help you build a realistic financial roadmap from day one.

At American Surrogacy, we provide:

  • Transparent cost breakdowns before you commit, so you know exactly what you’re paying for
  • Payment timelines that show when each cost will be due throughout the process
  • Budget planning support to help you prepare for contingencies like additional IVF cycles or travel expenses
  • Financing options tailored to surrogacy (more on that below)

Understanding your financial commitment upfront allows you to plan confidently, rather than scrambling to cover unexpected costs mid-journey.

How to Budget for Surrogacy Expenses Over Time

Smart budgeting is essential when planning for surrogacy. The total journey typically costs $100,000 - $200,000+, with expenses spread across 12-24 months.

Here’s how to prepare:

  • Work with Transparent Agencies: Choose an agency like American Surrogacy that provides detailed cost breakdowns upfront. You’ll never be blindsided by hidden fees.
  • Plan for Unexpected Costs: Set aside 10-15% of your total budget for contingencies like additional IVF cycles, legal complications, or travel expenses. This cushion protects you if your surrogate lives far away.
  • Consider Household Impact: Don’t forget to factor in future childcare costs, savings goals, and potential income changes. Consider whether one parent plans to take extended leave.

Financial preparedness reduces stress and lets you focus on the emotional aspects of building your family.

Making Surrogacy More Affordable: Financial Options

The upfront costs of surrogacy are significant, but you don’t have to shoulder them alone. Many intended parents combine multiple financial strategies to make surrogacy possible:

Fertility-Specific Financing

We partner with Sunfish, a fertility financing company that offers:

  • Low-interest loans specifically for IVF, surrogacy, and egg donation
  • Loan amounts up to $100,000
  • Flexible repayment terms with no prepayment penalties

Future Family also provides fertility-specific loans with competitive rates tailored to family-building journeys.

Personal Loans

Banks and credit unions offer personal loans that can cover upfront surrogacy costs. These typically have:

  • Shorter terms than fertility loans
  • Higher interest rates
  • Faster approval processes

Grants and Scholarships

Competitive but valuable options include:

Other Resources

  • 401(k) loans or hardship withdrawals
  • Health Savings Accounts (HSAs) for medical expenses
  • Employer fertility benefits through providers like Progyny

Explore surrogacy programs offering financing options to find the right fit for your family.

Take The Next Step With American Surrogacy

Understanding your upfront costs is just the beginning. The right surrogacy partner will help you navigate finances, match you with a thoroughly screened surrogate, and protect your investment every step of the way.

Fill out our contact form today to get personalized financing options and take the first step toward your surrogacy journey with confidence.

You deserve more than generic quotes and hidden fees. You deserve transparency, support, and a clear path forward.


We can’t afford another round of IVF. Is surrogacy really an option?

Struggling with IVF costs? Discover why surrogacy might be more financially achievable than you realize, plus practical funding strategies.

If you’ve found yourself at the point where yet another round of IVF seems financially impossible,  you’re not alone.

After years of appointments and treatments that have gone nowhere, it’s understandable to feel like you’ve hit a wall. Our role is to help you see your next steps clearly and find a direction that feels right.

Ready to explore what comes next? Learn how our surrogacy programs can help you bring home your baby. Take your time. Every decision starts with one simple conversation.

Can’t Afford Another Round of IVF? You’re Not Alone

By now, you’ve already done everything you could with IVF. That effort matters, and it’s okay to look for something that finally gives you results.

Surrogacy provides a path forward that doesn’t require starting from scratch—some families use embryos they already have, while others explore new options with guidance from professionals who understand where you’re coming from.

Enough waiting and wondering. Now it’s about taking the next step that brings you closer to the outcome you’ve been working toward.

Want to know if surrogacy is right for you? Talk with a surrogacy specialist—a short chat can show you what’s possible.

Why Repeated IVF Failure Can Become Financially Unsustainable

Let’s talk about the money piece first, because it’s probably on your mind.

IVF costs add up fast. A single cycle can cost $15,000–$25,000, not including medications or additional procedures.

Even if insurance helps, most families still cover a large portion themselves. After a few rounds, you’re looking at surrogacy-level costs anyway. But here’s the difference: Surrogacy usually offers a clearer path to success.

It’s not just about money, though. Each attempt takes time, emotion, and energy. Using that same energy on something more predictable can make all the difference. Instead of wondering if this next transfer will finally work, you can follow a defined plan—one that leads toward parenthood.

If your doctor has started suggesting more tests or experimental treatments, it might be time to pause. Take a breath. Reassess what’s truly worth your effort and what will move you closer to your dream.

Curious how the two compare? Learn more about IVF and surrogacy options—get the details you need to make a confident choice.

How Surrogacy Helps You Grow Your Family While Keeping a Genetic Connection

One of the most common questions about surrogacy comes down to genetics. In gestational surrogacy, your surrogate carries an embryo created from your own egg and sperm. That means your baby is biologically yours—the journey just takes a different route.

If you have embryos from earlier IVF cycles, this could be your next step. No need to go through another full round of treatment. Every surrogate is carefully screened for health and emotional readiness, and that attention to detail gives you peace of mind and a stronger sense of control.

Questions about the process? Connect with our team—we can explain what it looks like and help you decide if it’s right for you.

What If You’ve Run Out of Embryos?

Running out of embryos can feel discouraging, but it’s not the end of the road. There are still ways forward, and you don’t have to figure it out alone.

Using Donor Embryos in the Process

Some families move ahead using donor embryos that are already created, screened, and ready for transfer. It’s faster and can reduce overall costs—a quicker route to parenthood for those ready to focus on the next stage.

Others choose double donor IVF, using both donor eggs and sperm to create new embryos for surrogacy. It’s flexible and has strong success rates. For many, it’s a way to move beyond the frustration of failed cycles and toward something new.

Coordinators can walk you through both paths and connect you with clinics that fit your goals. You’ll know what to expect, and you’ll have the support to make it happen.

Need to understand your options better? Explore donor options—take it one step at a time and see what feels right for you.

Finding Hope After IVF: How Surrogacy Can Be a More Certain Path to Parenthood

So how is surrogacy different from what you’ve been through? Surrogacy can feel like a big step.

But for many, it brings more structure and reassurance than years of IVF uncertainty. Success rates for gestational surrogacy often reach 70–80%, and that predictability gives families something they haven’t had in a long time—hope that feels solid.

The process is organized, transparent, and supported by professionals who know how to keep it moving. Step by step, you’ll understand what’s next. Each milestone brings you closer to your goal.

Wondering about the numbers? Compare IVF and surrogacy outcomes—see how they align with your goals.

Financing Options That Make Surrogacy More Accessible

Now let’s talk about making this work financially.

The cost of surrogacy can seem intimidating at first glance, but it’s often more doable than people think. We work with trusted lenders and nonprofit organizations that offer flexible options for financing. Once you explore what’s out there, the path becomes easier to see. Here are some common ways families manage costs:

You don’t have to have everything figured out right away. We can even help you create a plan that works for your family.

Finding Support and Taking the Next Step

After several IVF attempts, most people want something that feels calmer and more certain. Surrogacy gives you a structured way forward and a team that’s ready to guide you when you’re ready to begin.

Families often describe this point as a turning moment—the place where things finally start to make sense again. You’ll have time to think, ask, and plan. No pressure, no rush. Just guidance and steady progress.

When you’re ready, let’s talk about how to start your next chapter.

Are There Surrogacy Contract Review Services for Intended Parents?

Protect your parental rights with expert contract review. We’ll help you find qualified reproductive law attorneys practicing in your state.

A specialized surrogacy attorney protects your parental rights and prevents costly legal problems down the road.

When you work with someone who truly understands surrogacy law, every detail of your gestational carrier agreement gets reviewed before your surrogate begins medical procedures.

Fill out our form to get personalized help connecting with experienced reproductive law attorneys in your state.

This guide walks through what these services include, when the review happens, and how we connect you with qualified surrogacy law attorneys.

How Surrogacy Contract Review Services Work for Intended Parents

Yes, there are services specifically for this. The important distinction: these services come from reproductive attorneys who specialize in this area of law, not from a surrogacy agency.

We connect you with qualified professionals, but an attorney handles all the drafting and review.

A surrogacy attorney drafts the gestational agreement from scratch, tailoring everything to a specific situation, applicable state laws, and individual circumstances.

Every clause gets reviewed, complex terms are explained in plain language, and negotiations happen on behalf of intended parents.

We’ve built relationships with reputable attorneys across the country who have years of experience with gestational agreements. The law varies considerably by state—that’s why we maintain these connections with professionals who know this field well.

Learn how we connect intended parents with qualified attorneys

Why Intended Parents Need Their Own Surrogacy Attorney

Independent representation protects intended parents in ways that really matter. The surrogate will have her own counsel looking out for her interests, and intended parents need someone just as committed to looking out for theirs.

This separation ensures both parties have the protection needed while keeping a healthy working relationship.

Counsel serves several critical functions. The drafted agreement establishes parental rights from the moment a child is born and covers compensation terms, medical decision-making authority, and contingency plans. Clients learn exactly what gets agreed to before signing anything, eliminating surprises later on.

How Surrogacy Laws Differ by State

What catches many people off guard: laws governing this process are really different depending on location.

Experienced local counsel understands these differences and structures agreements accordingly, explaining whether a state allows pre-birth parentage orders or requires adoption proceedings after a baby is born.

Professional contract review helps prevent disputes that could complicate things later. Clear terms prevent misunderstandings about money, medical decisions, or parental rights before they become problems.

Explore comprehensive legal guidance and resources

What to Expect During the Surrogacy Contract Review Process

Contract review starts after matching with a surrogate. By this point, both parties have completed initial screenings, met and connected, and now it’s time to make everything official before any medical procedures begin.

The timeline usually unfolds like this:

  • Initial Draft (2-3 Weeks): An attorney puts together the agreement based on client needs and applicable state laws. This draft includes provisions about surrogate compensation, medical protocols, parental rights, and everyone’s responsibilities throughout the pregnancy and birth.
  • Review Phase: Both intended parents and the surrogate work with separate attorneys to go through proposed terms. Counsel reviews every section and explains what it all means.
  • Negotiation: Attorneys discuss any concerns or changes either party would like to see. This back-and-forth is normal and healthy. The surrogate’s counsel might ask for adjustments to compensation or delivery preferences. The intended parents’ representative might clarify medical decision-making protocols or insurance coverage.
  • Finalization: Once revisions are made and everyone feels good about final terms, both parties sign. Most agencies and fertility clinics need this fully executed document before scheduling embryo transfer.

The whole process usually takes 4-8 weeks from start to finish. Complex situations sometimes push this out a bit. Working with experienced reproductive law professionals who understand this field helps keep things moving.

While eager to get started, this timeline can feel long, but it’s designed to protect everyone. Taking time to get the agreement right now prevents headaches later.

What’s Included in a Surrogacy Agreement

Gestational agreements cover a lot of ground. Familiarizing yourself with these key elements provides better preparation when sitting down with counsel.

Surrogate Compensation

Payment details and escrow agreements make up a big part of the agreement, covering base compensation, monthly allowances, and reimbursement for pregnancy-related expenses.

Payment schedules and provisions for complications appear here.

Medical decision-making authority

This clarifies who makes choices about prenatal care, delivery preferences, and medical interventions. The surrogate maintains autonomy over her own body, but the agreement lays out how communication about major decisions will happen.

Establishing Parental Rights in Your Surrogacy Contract

Arguably the most important part appears here. Intended parents hold full rights to a child from the moment of birth—the section makes this crystal clear.

How birth certificates with the intended parents’ names will be obtained gets spelled out exactly, along with whether a state allows pre-birth parentage orders or requires adoption proceedings.

How Insurance and Medical Costs Are Covered in Surrogacy

Considerable attention goes to verifying the surrogate’s health insurance covers pregnancy, planning for any gaps in coverage, and figuring out who’s responsible for medical bills if complications come up.

Many intended parents carry backup insurance specifically for related expenses.

Medical Decision-Making Rights in Surrogacy Agreements

These clauses cover scenarios nobody wants to think about but everyone needs to be prepared for.

Rather than creating conflict, they ensure everyone knows how difficult decisions would get handled if medical circumstances required them.

Under what circumstances would pregnancy termination be considered, if any? Who gets to make that call? How would a multiple pregnancy be handled if selective reduction becomes medically necessary?

Lifestyle and behavioral expectations

This rounds out the pregnancy provisions, covering prenatal vitamins, activity restrictions, substance avoidance, and medical appointment attendance.

Every detail matters because the agreement forms the foundation for everything that comes next.

How Your Surrogacy Agency Supports Contract Review

While we can’t provide legal services ourselves, we play an important support role during this phase.

Over the years, we’ve built relationships with reputable family-building law professionals across the country, and we connect intended parents with experienced attorneys who understand their state’s regulations.

Our team helps coordinate between intended parents, surrogates, and their respective attorneys—answering questions about our procedures, surrogate compensation processes, and medical protocols so attorneys can draft accurate documents.

With many intended parents having completed their journeys with us, we understand the common concerns that arise and can share what typically happens during the legal process.

Agency Support After Your Contract Is Signed

Throughout the process, intended parents will have a dedicated coordinator who knows the case and can answer non-legal questions about how different terms actually play out. Signing doesn’t end this support—it continues through delivery and establishing parentage.

Support from people who understand both the field and the emotional side makes a real difference. We’re here to help however we can.

Finding the Right Surrogacy Attorney for Your Contract

The right attorney makes a real difference in your surrogacy experience. A qualified reproductive law professional does more than draft documents—they become your advocate, protecting your family’s interests at every stage.

We’ve built a network of experienced family-building law attorneys across the United States who understand state-specific regulations and have years of experience with gestational agreements.

Fill out our form to get personalized help finding an experienced reproductive law attorney in your state.

Understanding Your Relationship with Your Surrogate After Birth

Explore how surrogates and intended parents can navigate connection, boundaries, and gratitude after birth.

What happens between you and your surrogate once your baby arrives? Some families become genuine friends and stay close for years. Some exchange holiday cards or occasional photos, then gradually lose touch. The rest say thank you, wish each other well, and move forward separately.

Surrogacy coordinators who understand these dynamics help you figure out what works for your situation. At American Surrogacy, we help families navigate these decisions without overthinking it.

Here’s what post-surrogacy relationships look like, how to keep communication straightforward, and what support you can expect from your agency.

Talk to a Surrogacy Specialist

Understanding Your Relationship with Your Surrogate After Birth

Talk to ten families who’ve been through surrogacy, and you’ll hear ten different stories. How you got along during pregnancy tells you something about what comes next. Connected and became friends? You’ll want to keep that going. More professional relationship? It tends to stay that way. But things shift. What seems right at delivery can look different six months later.

Early conversations with your coordinator about expectations prevent a lot of confusion and awkward moments. They also step in when your needs and your surrogate’s don’t quite align.

How Surrogacy Coordinators Support Post-Birth Relationships

Coordinators do more than logistics—they help with relationships, especially once your baby arrives.

Think of coordinators as neutral third parties who help you work through difficult conversations. Monthly photo updates? Holiday cards only? Annual visits? Having these conversations through your coordinator—or with their help—keeps things from getting awkward.

Sometimes your expectations don’t line up. You assume you’ll stay in touch and your surrogate needs space. Or she wants more contact than you can manage with a newborn.

Having someone in the middle who helps both sides understand each other? That makes a real difference.

At American Surrogacy, our coordinators stay available to help with these conversations, offer perspective, and make sure everyone’s comfortable. We see this ongoing support as part of our responsibility to both you and your surrogate.

Connect with a Coordinator Today

Healthy Communication and Boundaries

Staying in touch after birth works when everyone knows what to expect. But what sounds obvious to you might mean something completely different to your surrogate. Talking about it upfront saves confusion down the line.

Start by thinking about what would suit you. Do you want to share big milestones? Send photos every few months? Or do you need some privacy while you’re getting used to being parents? Your surrogate has preferences too.

While some love getting updates and watching the baby grow, others would rather step back and let your family bond independently. Finding common ground matters most.

When this conversation seems uncomfortable, your coordinator will get it started. They’ll also check in later to make sure everyone’s still on the same page. What works at first won’t necessarily work forever. Adjusting as you go is natural.

Choosing How to Stay Connected

Pick whichever communication method seems most natural. Some people text. Some email. Some send actual cards.

Whatever requires the least effort while still being genuine is probably your best option. Staying in touch should be enjoyable, not like another chore.

When Intended Parents and Surrogates Stay Connected Long-Term

The most meaningful post-surrogacy relationships? They happen when families stay close well beyond those first few months.

What Long-Term Relationships Look Like

What that looks like depends on the people involved. You send photos when your kid hits milestones. She sends a card at Christmas. You meet up for coffee when you’re in the same area, or she comes to birthday parties. Some families consider their surrogate an aunt or godmother.

These friendships work when both people want them, not because you sense an obligation. Trying to force a close relationship rarely goes well. But when it’s natural and both of you put in some effort? It can mean a lot—including to your kid someday when they’re old enough to understand their story.

Hear Surrogacy Success Stories

When Your Surrogate Prefers Limited or No Contact (and Why It’s Not Personal)

Many surrogates want space afterward. It doesn’t mean she regrets anything or doesn’t care about you—it means she’s ready to get back to her regular life.

Pregnancy takes over everything for nine months: appointments, physical changes, hormones, giving up foods and activities. Once the baby’s here, most surrogates want to focus on their own kids, get their body back to normal, and return to their routine. She’s prioritizing self-care.

Some surrogates find that staying in touch makes it harder to move forward emotionally. They need distance to process everything and close that chapter. It doesn’t diminish what she did—she just needs to handle it her own way.

Those bonding chemicals that happen during pregnancy don’t know you’re not keeping the baby. Some surrogates need space to let those feelings settle.

Your surrogate telling you she needs distance? Don’t take it personally. Her request is about her own emotional needs, not her feelings about you or your baby. The best response is respecting that and being grateful.

When It’s Time to Move On: Finding Closure

Not every surrogacy relationship lasts forever. Sometimes the right move is a sincere thank you and goodbye, then moving on with your lives.

People’s lives go in different directions. The closeness from pregnancy fades once everyone returns to normal routines.

You might prefer closing this chapter to focus on your own family, live too far apart for regular contact, or realize you don’t have much in common beyond the surrogacy experience.

Choosing closure doesn’t mean you failed or lack gratitude. You can deeply appreciate what she did without staying in each other’s lives permanently.

Not sure how to handle it? Your coordinator will help. They can set up a final conversation, coordinate exchanging notes or small gifts, or reassure you it’s acceptable to move on.

Some people want a formal goodbye meeting, while others prefer a heartfelt phone call or text. Whatever seems right for you both works.

Talk to a Coordinator About Your Situation

The Role of the Agency After Delivery

Our work at American Surrogacy extends well beyond delivery day. Coordinators stay available for questions, help with difficult conversations, and provide support while everyone adjusts to this transition.

Ongoing Support and Resources

Coordinators answer questions about what’s normal, help you work out boundaries, and give you an outside perspective when emotions are running high. Sometimes you need someone who understands these dynamics to tell you whether what you’re feeling makes sense.

We also connect families with resources that can help during this transition:

  • Surrogacy-specialized therapists who understand the unique dynamics of these relationships
  • Group sessions where you can process your experience with others
  • Peer connections with families who’ve navigated similar situations

We usually check in at two weeks, six weeks, three months, and six months. These check-ins help us spot concerns early and ensure everyone’s doing well.

How to Talk to Your Coordinator About Post-Birth Expectations

Bring this up during pregnancy, ideally in your second trimester. That’s after you’ve gotten to know each other, but before the third trimester when everything gets more stressful. Gives everyone time to think without pressure.

Tell your coordinator what you’re hoping for regarding contact, and ask them to help you have that conversation with your surrogate. That way everyone knows what to expect before delivery.

Your coordinator can help with questions that seem awkward to bring up yourself:

  • How often do you want to hear from each other?
  • What’s the easiest way to stay in touch?
  • Are you both comfortable meeting in person, or would you rather stick to digital communication?
  • What happens when someone’s feelings change?

It could be a little uncomfortable at first. But having these conversations now beats dealing with hurt feelings or confusion after your baby’s here and everything’s more emotional.

You Don’t Have to Navigate This Relationship Alone

Navigating your relationship with your surrogate involves unfamiliar territory for most people. Professional guidance makes this easier.

Our surrogacy specialists know how to facilitate tough conversations, help you set boundaries that work, and adjust when circumstances change.

Your surrogate did something significant for you. Finding the right way to acknowledge that—whether it’s staying close or parting ways with gratitude—is about being honest about what works.

Our coordinators help you navigate that in a way that respects everyone involved.

Talk to a Surrogacy Specialist

Why is it So Hard to Match with a Surrogate? Avoiding Competitive Surrogacy Waitlists

Many families struggle to find a surrogate—but it doesn’t have to be that way. See how better screening and balance speed up your match.

Here’s the thing: finding the right surrogate doesn’t have to feel impossible. When you work with the right agency and understand how matching really works, you can connect with a qualified surrogate in 1-4 months. It’s about knowing what slows things down—and avoiding those pitfalls.

Schedule a consultation today to learn how our pre-screened surrogates and balanced waitlists can help you become a parent faster

Let’s talk about why it is so hard to find a surrogate, what actually makes the difference between a quick match and a painfully long wait, and how we help families skip the frustrating parts.

Why is it So Hard to Match with a Surrogate?

There’s no single answer to why it is so hard to find a surrogate. The challenges of finding a surrogate really depend on which agency you choose and how they run things.

The biggest issue? Simple math. There are way more intended parents looking for surrogates than there are surrogates available.

At a lot of agencies, you’re joining a crowded waitlist where you’re competing with dozens of other hopeful families for the same small group of women.

But here’s what makes it worse: some agencies let you browse and pick surrogates who haven’t even finished screening yet. You might think you’re making progress, but then weeks later you find out she doesn’t qualify—and you’re back to square one after getting your hopes up.

Surrogates are in high demand, but the real question isn’t whether surrogates exist—it’s whether the ones you’re seeing are actually ready to go.

The Surrogate Screening Process—and Why Timing Matters

Understanding the surrogate screening process helps explain why timing matters so much when you’re trying to match with a surrogate. Here’s what real screening looks like:

  • Step 1: Initial Basic Screening (ASRM Guidelines): Making sure she meets the basic health, age, and pregnancy history requirements.
  • Step 2: Social Questionnaire, Interviews, and Home Assessment: Deep-dive conversations about her life, support system, and why she wants to do this. We visit her home to make sure everything’s stable.
  • Step 3: Past Pregnancy Medical Records Review: We look at records from her previous pregnancies to catch any red flags.
  • Step 4: Criminal and Background Checks: Everyone’s safety matters—we do thorough background screening.
  • Step 5: Psychological Testing and Counseling: A licensed professional makes sure she’s emotionally ready and understands what’s ahead.
  • Step 6: Intended Parents’ Clinic Review: Your fertility doctor does their own final medical check based on their specific requirements.

Here’s where other agencies mess up: they let you pick someone after just Step 1, then do the rest of the screening after you’ve already chosen her. Imagine connecting with someone perfect, only to learn weeks later she doesn’t actually qualify. Talk about heartbreaking.

We do things differently. Our surrogates finish Steps 1-5 before you ever see them. So when you’re looking at potential matches, you know she’s truly qualified and ready.

Why Matches Fall Through

Even when you think you’ve found her, things can still fall apart. Here’s why.

Bad screening is usually the culprit. When agencies don’t properly vet surrogates upfront, problems pop up later—medical issues, psych concerns, background problems that should’ve been caught from the start.

Every failed match means starting over and losing months.

Sometimes surrogates drop out, especially if they weren’t really ready to begin with.

Some women start the process without fully understanding how demanding it is. Others have unexpected life stuff come up. When the screening isn’t thorough enough to spot low commitment, more people bail.

And if you try finding a surrogate on your own without an agency? You’re risking scams. Some people actually pretend to be surrogates just to take money from desperate families. An agency protects you from that nightmare.

Becoming a parent faster means avoiding these problems before they happen.

How Agencies Manage Waitlists and Matching

Not all agencies handle waitlists the same way, and this makes a huge difference in how long it takes to find a surrogate.

Some agencies pack their intended parent lists way too full. You’re waiting behind dozens of other families for just a handful of available surrogates. Even if you’re perfect candidates, you could wait months or years simply because others got there first.

We don’t do that. We keep a 1:1 intended parent to surrogate ratio—meaning we’re not bringing in more families than we can actually match. No massive waitlist. No brutal competition.

Our marketing and outreach also sets us apart. We actively recruit qualified surrogates nationwide, which means way more potential matches for you.

This whole system is why intended parents experience the shortest wait times with us. We built everything around cutting out unnecessary delays without sacrificing quality.

How Long Does it Take to Find a Surrogate?

Families find a match within an average of 1–4 months when they work with us. That’s because we maintain a large pool of pre-screened, qualified surrogates and keep our intended parent and surrogate lists balanced.

You’re not competing with hundreds of other families—or wasting time reviewing profiles of women who might not even qualify. Every surrogate you see has already passed medical and psychological screening and is ready to match.

Other agencies often skip pre-screening or overload their waitlists. The result? Long delays, broken matches, and months (or even years) of waiting. Those setbacks can be emotionally exhausting and completely avoidable.

The difference between a 2-month match and a 12-month wait often comes down to one thing—choosing an agency with the right system. At American Surrogacy, that system is already working for families like yours.

How American Surrogacy Supports Intended Parents

You deserve a partner who gets what’s at stake. We know every month of waiting feels eternal when you’re ready for your family.

We help you create a profile that really connects with surrogates—showing who you are, what you value, what makes your family special. A strong profile leads to better, faster matches.

We also offer unlimited matching at no extra cost through our full-service programs. If a match doesn’t work out for any reason, you won’t pay again. That peace of mind matters.

What if finding a surrogate didn’t have to be the hardest part? With the right support, pre-screening, and approach, it doesn’t have to be.

Schedule a consultation today and let us show you exactly how we’ll help you match with a qualified surrogate faster than you thought possible.