Becoming a surrogate in Hawaii means you have the opportunity to make an extraordinary difference while earning meaningful compensation that can create new possibilities for your own family.
American Surrogacy is here to help qualified Hawaii surrogates navigate these steps with professional support, ensuring you are protected, informed, and respected from your first application through delivery.
Requirements to Become a Surrogate in Hawaii With American Surrogacy
To ensure a safe and healthy pregnancy, all prospective surrogates must meet specific medical and lifestyle criteria. These qualifications protect your well-being and set the foundation for a successful surrogacy experience.

The Process to Become a Surrogate in Hawaii: Step by Step
Understanding the timeline helps you know exactly what you are signing up for. From your initial application to the day you deliver, here is how the surrogacy process unfolds.
Step 1. Apply to be a Surrogate and Complete Agency Screening: 1-3 Months
Once you submit your application, our team will review your initial eligibility. If you qualify, you will move into American Surrogacy’s screening phase. This step is designed to ensure you are physically and emotionally prepared for the process.
Our screening process includes:
Medical Record Review: ~1-5 weeks Background Check: ~1 week Psychological Evaluation: Results available in ~1 week Insurance Review: ~1 week
Step 2. Match With Intended Parents: 0-2 Months
We believe choosing the right family should be a mutual decision. You will have the opportunity to review profiles of intended parents who have expressed interest in you.
You get to consider their personalities, values, and expectations for the process. If you feel they are the right fit, and they feel the same, you will have a mediated introductory call before officially matching.
Step 3. Complete Medical Clearance: 1-2 Months
After matching, you will complete medical screening at the intended parents' fertility clinic. This typically involves bloodwork, an ultrasound, and a physical exam to ensure your body is ready for an embryo transfer.
Once the fertility doctor clears you, you are ready to begin the legal phase.
Step 4. Complete Your Gestational Carrier Agreement: 1-2 Months
Before any medical procedures for the embryo transfer begin, you and the intended parents will draft and sign a gestational carrier agreement.
You will have your own independent legal counsel—paid for by the intended parents—to review the contract, advocate for your interests, and ensure you fully understand your rights and compensation before you sign.
Step 5. Complete the Embryo Transfer: 1-2 Months
With the contract signed, the fertility clinic will provide a medication protocol to prepare your body for pregnancy. The embryo transfer is a relatively quick and painless procedure performed at the clinic.
Afterward, you will likely be asked to rest for a day or two while the embryo implants.
Step 6. Confirm Pregnancy and Begin Receiving Monthly Base Payments: 9 Months
About two weeks after the transfer, a blood test will confirm the pregnancy.
Once a heartbeat is detected via ultrasound (usually around the 6-week mark), you will begin receiving your monthly base compensation payments.
From this point forward, your surrogacy specialist will provide ongoing support, check-ins, and coordination as you receive prenatal care from your local OBGYN in Hawaii.
How Long Does Surrogate Screening Take?
Surrogate screening typically takes 1 to 3 months to complete.
While some parts of the timeline depend on medical record retrieval and clinic scheduling, there are ways you can keep the process moving efficiently:
Contact your medical providers to authorize sharing your medical records Upload your insurance card and policy booklet (if applicable) Submit IDs for all household members 18+ Send your profile materials to your specialist as soon as possibleTips to Keep Things Moving
How Hawaii Law Affects Your Surrogacy Agreement
A surrogacy agreement establishes the legal framework for your experience, outlining compensation, expense reimbursement, medical responsibilities, and parental rights.
Hawaii law permits gestational surrogacy under the Uniform Parentage Act.
So long as your surrogacy agreement complies with these statutory requirements, the necessary legal order can be drafted and ensures the legal details are straightforward at birth.
Because Hawaii law regulates how these agreements are structured, it is recommended to work with professionals who understand the specific state requirements.
Independent Legal Representation
Under best practices and standard statutory requirements for enforceability, you must have independent legal counsel during the contract phase.
Your attorney will ensure the agreement complies with Hawaii's Uniform Parentage Act, protecting your rights and clarifying your responsibilities before any medical steps are taken.
How Much Do Surrogates Make in Hawaii?
American Surrogacy believes you deserve to earn as much as possible for your extraordinary commitment. First-time surrogates can earn c in base compensation, with total compensation reaching $70,000 - $110,000+.
If you are an experienced surrogate, your proven track record is reflected in higher base compensation, typically ranging from $70,000 - $90,000+.
Your base pay is only one part of your overall financial package. You will also receive milestone bonuses (for completing steps like medical screening and embryo transfer) and a monthly allowance to cover incidentals like maternity clothing and travel.
All your medical, legal, and surrogacy-related travel expenses are paid separately, ensuring you never pay out of pocket to be a surrogate. Compensation can be negotiated based on your location, experience, and the specific intended parents you match with—and we will match qualifying higher compensation offers from other agencies.
Why Become a Surrogate With American Surrogacy?
Choosing the right agency directly impacts your safety, compensation, and overall experience.
- Highest-Possible Compensation: We offer experience-based pay, negotiable compensation, and the ability to match higher qualifying offers so you can make a meaningful financial difference for your family.
- More Control and Stronger Protections: You are never assigned to a family. Our mutual matching process gives you a say in who you help. We also ensure you have independent legal counsel and work only with intended parents who have passed rigorous background screening.
- Support That Stays With You: You have direct access to experienced surrogacy professionals and mental health support whenever you need guidance, reassurance, or advocacy—from your first application through delivery and beyond.
What If You Don’t Meet the Requirements to Become a Surrogate?
If you do not currently meet the qualifications to become a surrogate, it does not necessarily mean the door is permanently closed.
Some requirements, such as BMI or the age of your youngest child, can change over time. If your circumstances shift, we encourage you to reach back out and reapply.
If you know you cannot carry a child but still want to be involved in the surrogacy community, consider our referral program. If you refer a qualified woman who becomes a surrogate with us, you can earn a referral bonus while helping connect families.
Apply to Become a Surrogate in Hawaii
If you are ready to take the next step, or if you simply want to know what compensation might look like for you, applying is the clearest way to get answers.
See whether you qualify to become a surrogate and what your next steps could look like with American Surrogacy.