Become a Surrogate, Advocate, or Both

Yes. We believe single mothers are just as capable of being Surrogates as a married woman. If you are single, it is very important that you have some type of support system in place. You should assure it prior to committing to any Surrogate program.

Whether you have insurance or not, the Intended Parents will purchase Surrogate-specific insurance for you. The plan lasts for the duration of your pregnancy. Our accounting department will be handling all medical bills.

If you are uncertain about the laws in your state regarding surrogacy, please fill out an application. Then, you will see for yourself whether you would qualify based on the state you live in. You will get a response instantly after submitting your application.

A gestational surrogate is a woman who carries a pregnancy to term for others, using an IVF embryo created with eggs and sperm from intended parents or donors. She is genetically unrelated to the baby and receives compensation as part of the arrangement .

• Surrogacy is a medical process, which is why we believe that you should have full medical support during your pregnancy. While other agencies are managed by previous Surrogates or past Intended Parents, we are an OB managed agency. Former Surrogates and past Intended Parents may understand the emotional aspects of surrogacy. However, they often lack the clinical background and business skills to manage the complexities of a pregnancy process.
• We pay the highest compensation for first-time Surrogates in the industry. Many other agencies advertise high compensation amounts. However, you will find out after going through their application process that the advertised amount is not what you will be getting in hand. We are very transparent about the compensation structure. We make sure that you understand from the beginning what your financial situation will be during this journey with us. Transparency is crucial when it comes to money, and our approach gives you financial clarity from the start.

No, you will NOT be biologically related to the baby that you are carrying for the Intended Parents. As a Gestational Surrogate, your eggs will NOT be used. The process uses the eggs of either the Intended Mother or the Egg Donor.

Your name and your husband/spouse’s name will NOT be on the birth certificate. The Intended Parents will be the ones who will have full parental rights to the baby. Thus, it will be their names that appear on the birth certificate.

Many women ask, will I need to travel for surrogacy appointments. Usually, long-distance travel is only required for your main medical screening and embryo transfer at the IVF clinic. After the first trimester, you’re released to a local OB near home for the rest of the pregnancy. The exact clinic location depends on where your intended parents store their embryos.

A common concern is who pays for surrogate travel expenses. Any required travel related to your surrogacy—such as screening trips, embryo transfer, or long-distance OB visits—is paid for by the intended parents, not you. This includes approved flights, hotels, meals, and mileage as outlined in your contract. Details are reviewed in your surrogate compensation package.

Our Surrogate mothers need to live a healthy lifestyle and take care of the life that is growing inside of them. During this process, we ask you to stay in regular communication with us and inform us of any appointments or pregnancy-related questions.

• Initially, we will arrange for a preliminary blood work screening at a facility near your home.
• Once you have successfully passed the initial blood work screening, the next step will be a comprehensive medical screening which will include a pelvic exam, ultrasound, additional blood work, and cultures for sexually transmitted diseases and toxic substances. If applicable, you will be given lab orders for your partner to also have blood work screening for STDs and toxic substances.
• Once medically, psychologically and legally cleared, an IVF cycle calendar will then be created with important dates and prescription medications. Our physician’s office will go over in detail the names of the medications, instructions on use, and side effects. It is important to note that once injections begin, the surrogate must abstain from sexual intercourse. During the cycle, but prior to the actual embryo transfer, you will be required to go to the doctor’s office for vaginal ultrasounds and bloodwork at least one to two times per week. It is vital that you attend these appointments and take the medications as instructed by your physician.
• The embryo transfer happens approximately four weeks after the start of injectable medications. The transfer itself is about a ten-minute procedure. The embryos are placed in fluid in a syringe with a small catheter tube. The catheter is put through the cervix and into the uterus where the embryo is transferred. You will be required to be on bed rest for 24-72 hours depending on the physician’s protocol. While on bed rest, it is important to remain calm and still to give the embryos the best possible chance for taking. Follow up appointments for blood work between the transfer and the pregnancy test will occur to monitor hormone levels.
• A pregnancy blood test will be done twelve to fourteen days after the transfer depending on how the calendar falls. There will be two blood tests and a heartbeat ultrasound to verify a positive pregnancy. Once you are pregnant you will continue your medications to ensure that the pregnancy will continue to grow. Once the pregnancy is stable (around 10-12 weeks) you will be instructed to stop the medications and begin to see your personal OB doctor for the remainder of the pregnancy.

Our legal team arranges a power of attorney before delivery so your baby has a designated caregiver, often a trained newborn care provider called a Newborn Care Nanny, until you arrive. This person can stay with the baby, attend appointments, and follow your wishes. Once you’re in the US, full care transfers to you. See our Surrogacy and Birthright Citizenship guide.

Any adult living in your home must pass a background check. If you’re married or in a long-term partnership, your spouse/partner signs consent forms and usually completes simple blood and urine tests during screening. They’re also part of your support team, so we discuss expectations with both of you before you’re approved.

The amount of contact varies case by case. Contact is determined by the Surrogate Mother and the Intended Parent(s)’s preferences identified during the matching process. Some cultures are a little more closed off than others; however, the relationship and communication develops as the journey progresses.

Many surrogates ask, can I use my own OB as a surrogate. In many cases, yes—if your OB accepts the insurance used for the pregnancy. You and the intended parents decide together which OB will provide care. Some surrogates stay with the doctor who delivered their own children, while others choose a new provider.

Yes—many women ask can I be a surrogate if my tubes are tied. Tubal ligation does not affect gestational surrogacy, because embryos are placed directly into the uterus during IVF. As long as you meet the other health and pregnancy-history requirements, having your tubes tied is completely compatible with becoming a surrogate.

Risks are similar to a typical pregnancy: blood pressure issues, gestational diabetes, or delivery complications. We only accept candidates with a strong health history and previous uncomplicated birth, and your OB and IVF team monitor you closely. Talk with your own doctor about personal risk factors before applying.

A lot of applicants ask, can I be a surrogate if I am overweight? Our current BMI guideline is 32 or below. If you’re close to that number, we can support healthy weight-loss goals. IVF centers follow ASRM and clinic-specific BMI ranges, usually between 28 and 34, to lower pregnancy complications and gestational diabetes risk.

Many women ask who provides my medical care as a surrogate. Early on, the IVF clinic manages treatment and monitoring. After the first trimester, your care transitions to a local OB near your home, who follows standard prenatal guidelines. If you need a new OB, we can suggest options so you deliver at a nearby hospital.

It’s very common to ask if you’ll need injections as a surrogate. Yes, you’ll take hormone injections to prepare your uterus for the embryo transfer and early pregnancy. Our medical team gives a clear calendar with dates, doses, and tips. Most injections continue through the first trimester, after which your OB takes over regular prenatal care.

We know lost wages for employed surrogates are a real concern. Your compensation package includes a dedicated stipend for lost wages, paid at the start of the journey. You choose how to use those funds. You may still file for state programs like EDD, and any benefits you receive there stay separate from your stipend.

Many women ask, does surrogacy cost me anything? The answer is no. Intended parents pay for your medical care, travel, legal fees, and agreed benefits. Your compensation is on top of these covered costs, so you are not expected to pay out of pocket for required appointments. Learn more in our Surrogate Compensation
overview.

A common question is how are surrogate finances handled. All funds for your journey go into a secure escrow or trust account managed by an experienced third party. They pay your compensation, benefits, and approved expenses on schedule, so no money passes directly between you and the intended parents. Details are in our Compensation
guide.

To refer a friend, create an account on our Surrogate Referral Program page, grab your unique link, and share it with women who may qualify. For every friend who completes the process and becomes a surrogate, you can earn a $1,000 referral bonus.

Our program focuses on the advantages of surrogate compensation package models that are clear and stress-free. You receive more pay upfront instead of tracking dozens of small reimbursements. Many expenses—like childcare, travel, and maternity clothing—are bundled into a simple package, so you submit fewer receipts and know exactly what you’ll earn. Learn more in our Compensation guide.

To be considered employed, you must have a gross annual income of $15,000. Employment is verified by pay stubs and/or a tax return.People often ask what counts as employed for surrogacy. In our program, you are considered employed if your gross annual income is at least $15,000. We verify this with recent pay stubs and/or a tax return. This status helps us calculate lost wage benefits inside your compensation package.

A common question is how much do surrogates get paid. After your application, a coordinator walks you through the full package based on your state, pregnancy history, and employment status. You’ll see a clear base amount plus bonuses and benefits, so you know your total expected earnings. For ranges, visit our Surrogate Compensation
page.

Many ask why does surrogate pay vary by state. Local cost of living, travel needs, insurance options, and surrogacy laws all play a role. In higher-cost or more travel-heavy states, compensation tends to be higher so your time and expenses are fairly covered. Your coordinator will review your specific state ranges. See more on Surrogate Compensation.