Choosing to be a surrogate in South Dakota helps you complete a family while earning compensation for your own. Gestational surrogacy is a significant commitment, so we provide complete transparency before you move forward. Qualifications depend on a healthy pregnancy background, passing medical screenings, and matching mutually with intended parents.
Our team coordinates clinical scheduling, travel logistics, and escrow disbursements, allowing you to prioritize your well-being.
Requirements to Become a Surrogate in South Dakota with American Surrogacy
Surrogate qualifications in South Dakota focus on age, physical wellness and prior pregnancy history. Applicants must be between 21 and 40 years old with at least one prior uncomplicated birth.
We look for a body mass index between 19 and 32. That range lowers medical risks during hormone therapies and pregnancy.
A smoke-free home and reliable personal support ensure a healthy, low-stress environment throughout pregnancy. For applicants with prior C-sections, fertility doctors evaluate operative notes to verify complete uterine healing. Our specialists evaluate your health history to verify your eligibility.

The Process to Become a Surrogate in South Dakota: Step by Step
The surrogacy process moves through six structured phases from initial application through postpartum recovery. Clear milestones help you plan clinical appointments around your work and family commitments.
Step 1. Apply to Be a Surrogate and Complete Agency Screening: 1-3 Months
Your journey starts with a straightforward online health history. A casual video chat follows to discuss your personal goals and expectations.
Our team requests your prenatal charts directly from past delivery hospitals, eliminating personal record hunting.
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
Mutual matching puts you in full control of choosing the intended parents you want to help. You read comprehensive family profiles to find parents who share your personal values and communication preferences.
We pre-screen all intended parents through criminal background checks and financial verifications before introductions happen. You can learn how intended parents are screened to review our screening process for families.
A match moves forward only when a video chat demonstrates that both sides feel comfortable working together.
Step 3. Complete Medical Clearance: 1-2 Months
Clinical screening verifies that your body is healthy, rested and physically prepared for a surrogate pregnancy. You complete a single-day visit at the intended parents' fertility clinic for baseline lab monitoring and an ultrasound.
We arrange and fund round-trip travel and hotel lodging for you and an adult companion. Clinic staff conduct blood work and an ultrasound to evaluate your overall health. Passing medical clearance marks a major milestone, allowing you and your attorney to finalize legal contracts.
Step 4. Complete Your Gestational Carrier Agreement: 1-2 Months
Your Gestational Carrier Agreement defines your compensation terms, legal rights and birth plan before medications begin. You partner with an independent reproductive attorney who represents only you throughout contract negotiations.
The intended parents pay all your legal fees directly. Review our guide to gestational carrier agreements to see how contracts safeguard surrogates.
This contract details your base compensation schedule, lost wage protections and delivery choices. You only take cycle medications after both sides approve and sign this binding legal document.
Step 5. Complete the Embryo Transfer: 1-2 Months
An embryo transfer is a brief outpatient procedure scheduled after cycle medications prepare your uterine lining. The fertility clinic outlines a daily calendar for hormones like estrogen and progesterone.
Read our guide on the embryo transfer process to learn what to expect during this appointment. The doctor uses a small catheter to place the embryo gently into your uterus.
You rest briefly in the recovery suite before heading home.
Step 6. Confirm Pregnancy and Begin Receiving Monthly Base Payments: 9 Months
Monthly base compensation begins after an early ultrasound detects a fetal heartbeat around week seven. Before that milestone, a clinic blood test roughly two weeks post-transfer measures your initial pregnancy hormones.
Verifying cardiac activity graduates your care to your trusted hometown obstetrician for the remainder of pregnancy. Our team stays connected with you through delivery day and postpartum recovery.
How Long Does Surrogate Screening Take?
Most applicants complete screening within one to three months, largely dictated by hospital record release times.
You can trim weeks off that timeline by requesting medical charts from past delivery hospitals immediately. Having an up-to-date Pap smear report ready also speeds up review. Our specialists manage regular clinic outreach, actively tracking records on your behalf.
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 South Dakota Law Affects Your Surrogacy Agreement
While South Dakota has no formal surrogacy statute, circuit court judges uphold gestational carrier agreements. Circuit judges issue pre-birth parentage orders, placing intended parents on the birth certificate before hospital discharge.
These court orders apply across diverse family structures, establishing the intended parents as the child's legal guardians. Because you are a gestational carrier, you hold no legal or parental responsibilities for the baby. Working with an independent reproductive attorney ensures your contract aligns with local circuit court filing practices.
Escrow and Compensation Requirements
Independent escrow management holds all your compensation funds securely before any medical procedures start. Because state statutes do not regulate surrogacy escrow accounts, bonded third-party management protects your payments.
This bonded account holds your base compensation, monthly allowances and lost wage funds. An independent escrow agent disburses scheduled payments directly. This structure prevents awkward money conversations and eliminates out-of-pocket medical travel costs.
Independent Legal Representation
You work with an independent reproductive attorney whose legal fees are paid entirely by intended parents. Your attorney reviews contract provisions, clarifies payment terms and protects your delivery preferences. This dedicated counsel ensures every clause reflects your personal wishes before you sign.
Insurance Requirements
A professional insurance review verifies that your pregnancy and delivery care lack costly policy exclusions before signing. If your policy excludes surrogacy, intended parents purchase a maternity policy that covers surrogate pregnancy. They pay all deductibles and uncovered prenatal medical expenses directly.
Abortion and Medical Decision-Making
State law protects your bodily autonomy by criminalizing abortion coercion under SDCL Section 22-17-14. Your gestational agreement cannot declare that refusing a termination breaches your contract.
Agreements cannot force you to assume financial liabilities or medical costs for refusing termination. We facilitate conversations about selective reduction during matching, establishing clear mutual expectations before contracts begin.
How Much Do Surrogates Make in South Dakota?
Surrogates in South Dakota earn total compensation of $70,000 - $110,000+ through base pay and allowances. First-time surrogates receive $70,000 - $80,000+ in base pay for carrying a healthy pregnancy.
Experienced surrogates earn $90,000 - $110,000+ in base pay for completing a repeat journey. Our team matches higher verified offers from other licensed agencies to ensure competitive compensation.
Additional allowances cover maternity wear, travel stipends and childcare during clinic appointments. If a doctor prescribes bed rest, your contract replaces lost household income and funds domestic help.
Calculate your personalized earning potential using our compensation breakdown calculator below.
Why Become a Surrogate with American Surrogacy?
Choosing an agency determines how much practical support and personal advocacy you receive during pregnancy. American Surrogacy pairs competitive compensation with hands-on case management, handling travel bookings and clinic scheduling directly.
Our team focuses on three concrete safeguards for your journey:
- Total compensation packages of $70,000 - $110,000+ backed by custom offer matching and secure escrow disbursements.
- Complete control over matching through thorough parent profiles and private video calls before committing.
- A dedicated specialist who books travel arrangements, tracks medical records and provides consistent personal support.
You stay in control of your medical decisions while our specialists handle administrative friction.
What if You Don't Meet the Requirements to Become a Surrogate?
Not qualifying today does not prevent you from becoming a surrogate later on. Many common deferrals are temporary, such as active breastfeeding, recent delivery or working toward target BMI.
Taking time to pause allows your body to heal and rest. Our team can discuss your circumstances and help you plan a realistic future timeline. You can also support other families today by introducing an eligible friend through our referral bonus program.
Apply to Become a Surrogate in South Dakota
Applying takes only a few minutes online. Carrying for intended parents provides meaningful supplemental income for your household while helping someone achieve parenthood.
Our specialists provide direct answers about eligibility, compensation and next steps without any pressure or obligation.