6 Best Surrogacy Agencies in Georgia (2026)

If you’re searching for a surrogacy agency in Georgia, you have more workable options than most Southeast states — but fewer guardrails than you might expect. The best surrogacy agencies in Georgia for 2026 range from national programs with physician oversight to a Georgia-native agency with embedded attorneys who know the state’s county-level pre-birth order process firsthand.

Georgia operates on legal permissibility by silence: no statute prohibiting gestational surrogacy, a court system that issues pre-birth parentage orders in most cases, and more than 25 years of compensated surrogacy practice. What the state doesn’t offer is a floor. No mandatory surrogate protections. No required escrow. No clinical oversight standards for the agencies operating here.

That gap shapes everything that follows. Atlanta’s fertility clinic network — anchored by Reproductive Biology Associates (RBA), CCRM Atlanta, Shady Grove Fertility, and the Emory Reproductive Center — gives surrogates and intended parents access to strong reproductive medicine resources. But which agency sits between you and those resources matters enormously in a state where the law leaves that choice entirely to you.

6 Best Surrogacy Agencies in Georgia

Here is a quick comparison, followed by a full breakdown of each agency.

1. Physician’s Surrogacy (Serves Georgia)

Georgia offers no statutory surrogate protections. What the state provides instead is a permissive environment — courts that issue pre-birth orders and allow compensated surrogacy — without any legally mandated oversight standards for the agencies facilitating those journeys.

That gap is exactly where Physician’s Surrogacy operates differently from every other agency serving the state.

Board-certified obstetricians employed by the agency design the screening protocols, monitor clinical communications after every appointment, and consult peer-to-peer with a surrogate’s managing OB in Atlanta, Savannah, Augusta, or anywhere else in Georgia if complications arise. No other agency on this list offers that.

The agency is headquartered in San Diego and serves intended parents and surrogates nationwide. Its Advisory Board includes specialists in maternal-fetal medicine, neonatal care, and OB/GYNs. Georgia surrogates never travel to California — pre-screening and prenatal care are coordinated with local Georgia clinics, including RBA and CCRM Atlanta.

For Intended Parents

• Four fixed and flat program tiers: Surrogacy Flat Rate ($145,000), Physician Plus ($193,000, 12–14 months, priority access), Surrogacy Livebirth Guarantee ($208,000, unlimited transfers, 80% refund after three unsuccessful), and All Inclusive Bundle ($255,000, adds donor eggs). No agency fees until match confirmed.
• Average match time of one week — compared to an industry standard of 6–12 months — from the largest pre-screened surrogate pool in the country.
• Preterm delivery rate 50% below the national average — a direct result of physician-designed screening that goes well beyond what any Georgia court or contract requires.
• Optional OB-ordered antenatal testing: Non-Invasive Prenatal Testing (NIPT), NT Sonogram, AFP Quad Screen, and Fetal Echocardiogram — options no other agency serving Georgia can provide.
• 24/7 multilingual coordinator access, including WeChat support — relevant for Atlanta’s international intended parent community.

For Surrogates

• Flat-rate package starting at $60,000 for first-time Georgia surrogates — meaningfully above the Georgia-native agency range. Experienced surrogates can earn more on each subsequent journey.
• Household allowance, maternity clothing, and lost wages are pre-calculated into the flat-rate total — no receipt tracking, no reimbursement claims.
• All funds secured in escrow before the journey begins — a protection not legally required in Georgia but provided as standard.
• 3–6 months of post-delivery support — longer than any Georgia-based agency publicly offers.
• The Medically Cleared Program allows surrogates to complete medical and psychological clearance before matching, eliminating the 3–5 week post-match screening wait and compressing the timeline from match to embryo transfer.

One limitation worth noting: Physician’s Surrogacy focuses exclusively on gestational surrogacy and does not offer egg donation services within the same program.

Best For: Intended parents who want the only physician-led agency serving Georgia, the fastest matching timeline, and fixed and flat pricing across four tiers. Georgia surrogates who want onsite physician oversight, the strongest compensation in the state, and escrow-backed payment protection not legally required here but provided as standard.

2. Southern Surrogacy (Georgia-Based, Law-Firm-Owned)

Southern Surrogacy is the only Georgia-native agency on this list — and its structure is genuinely distinctive. The agency is owned and operated by a team of attorneys, meaning in-house legal counsel is part of the program by default, not a referral. For intended parents navigating Georgia’s county-level pre-birth order variability, that embedded legal expertise is a real operational advantage.

Southern Surrogacy serves surrogates and intended parents across the state — Atlanta, Augusta, Columbus, Macon, Savannah, and surrounding communities — and has built multi-year relationships with Georgia ART attorneys and local fertility clinics through years of in-state operation.

For Intended Parents

• Georgia-based, law-firm-owned agency — in-house attorneys with direct experience navigating Georgia’s county-level pre-birth order process are part of your team from day one.
• Serves all major Georgia cities: Atlanta, Augusta, Columbus, Macon, Savannah, and beyond.
• Full-service program: screening, matching, legal coordination, and case management from a single Georgia-rooted team.
• All family types served — traditional couples, LGBTQ+ families, and single intended parents.
• Total IP costs not publicly disclosed; provided upon consultation.

For Surrogates

• Total compensation ranging from $48,000 to $50,000+ for first-time Georgia surrogates — competitive for a state-based program, lower than national agencies on this list.
• Surrogates set their own compensation rate within program guidelines.
• Local matching model — regional pairing means shorter travel distances and a greater likelihood of an in-person relationship with intended parents.
• In-house legal counsel available to review and explain contracts — meaningful in a state where attorney expertise varies by county.

Southern Surrogacy’s compensation range reflects its positioning as a regional rather than national program. The trade-off is genuine Georgia-rooted expertise, embedded legal counsel, and local matching — all of which matter practically in a state where pre-birth orders are county-dependent.

Best For: Intended parents who want a Georgia-native agency with embedded legal expertise and local matching. Surrogates in Atlanta, Savannah, Augusta, or surrounding areas who want a highly local program with in-house attorney support.

3. Circle Surrogacy (Serves Georgia)

Circle Surrogacy was founded in 1995 and has served Georgia intended parents and surrogates for over three decades. Its relationships include established connections with RBA, CCRM Atlanta, and other Atlanta-area IVF clinics built through years of in-state operation.

Circle’s core advantage in Georgia is its legal and financial infrastructure. The agency’s in-house attorneys are familiar with Georgia’s pre-birth order process — including county-level variability that makes attorney selection so critical here. Circle’s bonded escrow program has protected funds for more than 5,000 clients nationally. In Georgia, where escrow is not legally required, that protection is entirely voluntary.

For Intended Parents

• Over 30 years of surrogacy experience nationally, with an active Georgia program serving all major cities and communities.
• Journey Protection Guarantee Program at $189,500, covering agency fees, surrogate compensation, legal work, and key insurance — including unlimited embryo transfers.
• In-house legal team with experience navigating Georgia’s pre-birth order process across multiple counties.
• Journey Protection Escrow: independently managed, 100% funded upfront — protection not legally mandated in Georgia.
• Match speed: 30 days or less for surrogates; 3–9 months for intended parents depending on preferences.

For Surrogates

• Total base compensation up to $70,000+, with the full package customized to individual circumstances.
• Journey Protection Pay Promise: 100% guaranteed compensation backed by fully funded escrow — a protection not required by Georgia law.
• Licensed mental health professional assigned to each surrogate for the full journey.
• Post-delivery support through the fourth trimester.
• Match guarantee of 30 days or less for approved Georgia surrogate applicants.

Circle is a non-medical agency — clinical oversight comes through the intended parents’ IVF clinic. Its distinctive strength in Georgia is financial protection and legal infrastructure in a state where neither is mandated by law.

Best For: Intended parents in Georgia who want a guaranteed cost program, in-house legal expertise, and a three-decade track record — particularly LGBTQ+ families. Surrogates who want guaranteed pay, dedicated mental health support, and a nationally recognized program with deep Georgia roots.

4. ConceiveAbilities (Serves Georgia — Atlanta Focus)

ConceiveAbilities has made a deliberate investment in the Atlanta market and its surrogate community. The agency actively recruits Georgia surrogates for local matches with Atlanta-area intended parents and has built relationships with Atlanta fertility resources including RBA.

For Georgia surrogates, ConceiveAbilities publishes some of the highest base compensation benchmarks on this list — up to $75,000 for first-time carriers — because the agency applies national benchmarks rather than Georgia-specific rates.

For Intended Parents

• Nearly 30 years of operation with a national track record.
• Active Atlanta program with local surrogate recruitment and matching.
• “All-In” fixed-fee program at approximately $197,500, covering agency fees, surrogate compensation, and key legal costs.
• Matching Matters program focuses on long-term compatibility — surrogates and intended parents are matched on shared values alongside logistics.
• Match speed: approximately 2–6 months. Combined egg donation and surrogacy in a single program.

For Surrogates

• Total base compensation up to $75,000 for first-time Georgia carriers — the highest published first-timer rate on this list.
• Full fourth-trimester recovery support built into the program.
• Georgia surrogates connected to Atlanta-specific resources: doula networks, fertility communities, and LGBTQ+ parenting organizations including Gay Fathers of Atlanta.
• Strong surrogate retention — many carriers return for second and third journeys.

The trade-off for ConceiveAbilities’ high compensation and strong Atlanta network is longer match timelines than agencies with pre-cleared surrogate pools. Total intended parent costs are among the higher end on this list.

Best For: Georgia surrogates who want the highest first-time base compensation and strong local Atlanta community connections. Intended parents in the Southeast who want combined egg donation and surrogacy with compatibility-focused matching.

5. Hatch Fertility (Serves Georgia)

Hatch Fertility was founded in 1991 and serves Georgia intended parents and surrogates as part of its national program. Based in Los Angeles, Hatch coordinates with Georgia ART attorneys and local fertility clinics while maintaining its integrated egg donation and surrogacy model — a meaningful advantage for Atlanta-area intended parents who need both services under one program.

Physician oversight comes through a partnership with a partner fertility clinic rather than onsite OB/GYNs employed by the agency itself. Hatch has operated in Georgia for many years and understands the state’s pre-birth order process and LIFE Act contracting requirements.

For Intended Parents

• Over 30 years of operation, with more than 8,000 successful journeys facilitated nationally.
• Combined egg donation and surrogacy in a single program — meaningful for Atlanta-area intended parents who need both.
• Rigorous screening accepting only the top 5% of surrogate and egg donor candidates.
• “Peace of Mind Program”: all-inclusive pricing covering unlimited egg retrievals, embryo transfers, and surrogate rematches until live birth.
• Estimated total costs: $160,000–$225,000+ depending on program and journey variables. Match speed: approximately 3–10 months.

For Surrogates

• Total base compensation starting at $61,100 for first-time Georgia surrogates, increasing for each subsequent completed journey.
• Additional benefits include medical and legal clearance bonuses, lost wages coverage, childcare allowances, and multiples/C-section bonuses.
• All funds held in escrow — a protection not legally required in Georgia.
• Staff composed largely of former surrogates and egg donors, with firsthand experience on the surrogate side.

For intended parents who need the integrated egg donation and surrogacy model, Hatch is one of the few national agencies offering both under one program while actively coordinating with Georgia attorneys and clinics.

Best For: Georgia intended parents who need egg donation and surrogacy in the same program, or who want the financial certainty of an unlimited-transfer guarantee package. Surrogates who value working with a highly established national agency staffed by people with firsthand surrogacy experience.

6. American Surrogacy (Serves Georgia)

American Surrogacy is a national agency that actively serves intended parents and surrogates in Georgia. Unlike in New York — where American Surrogacy is not licensed to match in-state surrogates — Georgia has no licensing requirement for surrogacy agencies. American Surrogacy operates fully in Georgia for both surrogates and intended parents.

The agency offers three program tiers across different budgets and risk tolerances, from full-service programs with financial protections to a coordination-only option for families who already have a surrogate identified. American Surrogacy is familiar with Georgia’s LIFE Act contracting considerations and county-level pre-birth order variability.

For Intended Parents

• Three program tiers: Limited Risk Program ($202,500+) with coverage for failed transfers and rematches; Foundation Program ($187,500+) with lower upfront cost; Independent Program ($24,000+) for coordination-only when a surrogate is already identified.
• Match speed: 1–4 months — one of the faster national programs serving Georgia.
• Every intended parent is assigned a dedicated case specialist throughout the process.
• Compensation managed through a licensed third-party escrow service. Serves LGBTQ+ families and single intended parents.

For Surrogates

• Georgia surrogate base compensation starting at $55,000, with total packages including reimbursements ranging up to $110,000+.
• Covered expenses include travel, lost wages, maternity supplies, childcare, and health-related costs.
• Transparent compensation terms disclosed from the first consultation.

American Surrogacy’s three-tier structure gives intended parents more budget flexibility than most agencies. The Foundation Program carries more financial exposure if the journey doesn’t proceed smoothly — the Limited Risk Program provides better protection for families who want predictable costs.

Best For: Georgia intended parents who want program flexibility and a faster-than-average national agency. Georgia surrogates who want clear, nationally benchmarked compensation terms and an established case management team.

How We Evaluated These Agencies

These six agencies were evaluated on criteria specific to Georgia’s surrogacy environment — not just national agency metrics.

Georgia Surrogacy Law: What You Need to Know

Georgia operates on a legal framework of permissibility by silence. There is no Georgia statute specifically governing gestational surrogacy — meaning the state neither explicitly legalizes nor prohibits it. Courts have operated favorably toward surrogacy for over two decades, but that track record is built on equitable arguments and judicial discretion, not statutory rights.

Here is what the legal landscape actually looks like in practice:

• No governing statute. Georgia has no codified surrogacy law. Enforceability of surrogacy contracts depends on general contract principles and judicial interpretation. Georgia’s statutory code contains no surrogacy-specific provisions. Practitioners report consistent success when contracts are well-drafted and both parties have independent legal counsel.
• Pre-birth parentage orders are available — but county-dependent. Most Georgia courts issue pre-birth orders establishing the intended parents as legal parents before the child is born. However, procedures vary by county and judge. Some counties have rarely issued these orders. Your surrogacy attorney should have direct experience in the specific county where your surrogate plans to deliver. See Georgia Courts for county court information.
• Compensated surrogacy is permitted. The state has no law prohibiting payment to a gestational carrier. Compensated surrogacy has been practiced here since the late 1990s.
• LGBTQ+ and single-parent families can pursue surrogacy. Georgia courts have issued pre-birth orders to same-sex couples, single intended parents, and unmarried couples — though some families may need to complete additional legal steps, such as a second-parent adoption, depending on the judge and county.
• No genetic connection required. No law requires intended parents to be genetically related to the child for a parentage order to be issued.
• The LIFE Act creates a specific contracting obligation. Georgia currently enforces a six-week abortion restriction under the LIFE Act (HB 481). This does not prohibit surrogacy, but every surrogacy contract in Georgia must explicitly address how termination decisions are made and under what circumstances. No other surrogacy-friendly Southeast state carries this complication to the same degree.
• IVF is now explicitly protected. A 2025 bipartisan bill codified the legal right to access in vitro fertilization statewide, providing important clarity for intended parents pursuing gestational surrogacy through IVF. See Georgia General Assembly for current session legislation.

What to Look for in a Georgia Surrogacy Agency

Georgia’s permissive-by-silence framework is both an advantage and a responsibility. Without codified protections, the quality of your agency and legal team determines outcomes to a greater degree than in states with statutes. See also our guide to choosing a surrogacy agency and our list of surrogacy agency red flags before you commit. These five criteria matter most in Georgia specifically.

• Medical oversight. Georgia law requires no specific medical oversight structure for surrogacy agencies — all clinical decisions default to the IVF clinic. Only one agency on this list employs onsite OB/GYNs who oversee the surrogacy program directly. In a state with no statutory surrogate protections, this distinction is more meaningful, not less.
• Georgia-specific legal coordination. County-level variability in pre-birth orders means agencies with deep relationships with experienced Georgia ART attorneys — specifically in the counties where their surrogates deliver — provide measurably better legal protection than those routing to out-of-state counsel.
• LIFE Act contract competency. Any agency operating in Georgia should have a documented process for ensuring surrogates and intended parents are aligned on termination expectations before matching. Ask every agency directly: how do you address Georgia’s abortion restriction in your matching and contracting process?
• Atlanta-area fertility clinic relationships. RBA, CCRM Atlanta, Shady Grove Fertility, and ACRM are among the most experienced reproductive medicine teams in the Southeast. Agencies with established workflows at these clinics coordinate embryo transfers and prenatal monitoring more efficiently.
• Compensation transparency. Georgia surrogate pay ranges widely — from under $50,000 at some regional programs to $75,000+ at national agencies. Ask every agency for the complete package, not just the headline number. Our surrogate compensation guide explains what to look for.

Georgia Surrogacy: The Question That Matters Most

Georgia’s surrogacy environment is permissive in the best way — no prohibitions, cooperative courts, and an established practice of compensated gestational surrogacy going back more than 25 years. What it doesn’t offer is a floor.

There are no mandatory surrogate protections, no required escrow, no minimum insurance standards, and no oversight requirements for the agencies facilitating these journeys. In that context, the choice of agency matters more in Georgia than in almost any other state.

An agency that brings onsite physician oversight, escrow-backed compensation, and genuine LIFE Act contract alignment adds protections the state itself doesn’t mandate. For intended parents, that means a preterm delivery rate 50% below the national average and a matching timeline measured in weeks, not months. For surrogates, it means the strongest compensation in the state and financial protection that the law doesn’t require but your journey deserves.

Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. Georgia gives you the legal room to pursue it. Your agency determines the quality of the care and protection that fills that room.

Frequently Asked Questions

Julianna Nikolic

Chief Strategy Officer Julianna Nikolic leads strategic initiatives, focusing on growth, innovation, and patient-centered solutions in the reproductive sciences sector. With 26+ years of management experience and a strong entrepreneurial background, she brings deep expertise to advancing reproductive healthcare.