6 Best Surrogacy Agencies in Oregon (2026)

Finding the best surrogacy agencies in Oregon takes more than a Google search — the state just rewrote its entire parentage law in 2025, and most agency websites haven’t caught up. If you’re an intended parent building your family, or a woman considering becoming a surrogate, the agency you choose determines how well you’re protected under that new framework.

Oregon has long been considered one of the most surrogacy-friendly states in the country. Courts issue pre-birth parentage orders. Compensated surrogacy is fully legal. LGBTQ+ families, single parents, and international intended parents all have access. With Senate Bill 163 signed into law in 2025, Oregon moved from a court-precedent model to a codified gestational surrogacy statute — one of the most meaningful legal upgrades any surrogacy state has made in years.

This guide compares six of the best surrogacy agencies in Oregon for 2026, evaluated across physician oversight, surrogate screening standards, compensation transparency, match speed, and legal fluency. Physician’s Surrogacy appears first — we’re transparent about that — and every other agency earned its place based on verifiable facts.

6 Best Surrogacy Agencies in Oregon (2026)

Here is a quick comparison of the six best surrogacy agencies serving Oregon in 2026, followed by full breakdowns of each program.

1. Physician’s Surrogacy (Nation’s Only OB-Managed Agency)

Physician’s Surrogacy is the only surrogacy agency in the United States managed by onsite, board-certified OB/GYNs. Most agencies assign lay coordinators to manage the clinical side of a journey. At Physician’s Surrogacy, that role belongs to physicians — the same obstetricians who designed the surrogate screening protocol and who monitor clinical communications after every prenatal appointment.

For intended parents, this distinction matters more than any legal framework. Oregon’s SB 163 sets the legal floor. Physician’s Surrogacy sets the clinical one — and a preterm delivery rate 50% below the national average is the evidence behind that claim.

Only 8% of surrogate candidates pass the physician-designed screening. Oregon is one of the highest-paying states for surrogates, with first-time compensation starting at $75,000+. That figure is a flat-rate package: household allowance, maternity clothing, lost wages, and milestone payments are all pre-calculated from day one. No receipts. No itemized claims.

For Intended Parents

• Flat-Rate Surrogacy program starting at $140,000–$170,000+, with no agency fees until a match is confirmed — full cost breakdown here
• Average match time of one week vs. an industry standard of 6–12 months — made possible by the largest active pre-screened surrogate pool in the U.S. (10,000+ candidates screened annually)
• Preterm delivery rate 50% below the national average — a direct result of physician-designed screening that goes beyond what Oregon law requires
• Optional OB-ordered antenatal testing: Non-Invasive Prenatal Testing (NIPT), NT Sonogram, AFP Quad Screen, and Fetal Echocardiogram — no other agency serving Oregon offers these directly
• 24/7 multilingual coordinator access, plus WeChat support for international intended parents

For Surrogates

• Compensation starts at $75,000+ — see how surrogate pay works — plus a $1,250 pre-screening bonus paid upon clearance
• Flat-rate package means no tracking receipts, no reimbursement disputes — the full amount confirmed before you sign
• Medically Cleared Program lets you complete medical and psychological screening before matching, eliminating the 3–5 week post-match screening wait
• Physician peer-to-peer consultation with your managing OB if complications arise during pregnancy
• 3–6 months of post-delivery support and coordinator access after birth

One practical note for Oregon: Physician’s Surrogacy coordinates pre-screening and prenatal care through local Oregon clinics. Oregon surrogates never travel to California for routine appointments. The agency’s onsite OB/GYN team is reachable 24/7 and handles peer-to-peer consultations with managing OBs anywhere in the state.

Best For: Intended parents who want physician-level clinical oversight throughout the entire journey — not just at screening. Oregon’s SB 163 framework sets the legal standard; Physician’s Surrogacy sets the clinical one.

2. Northwest Surrogacy Center (Portland’s Longest-Running Agency)

Northwest Surrogacy Center (NWSC) is headquartered in Portland and has operated for over 30 years — the longest-established surrogacy agency with a physical Oregon presence. The agency reports more than 2,600 babies born through its program, making it one of the most experienced local options on this list.

NWSC offers two pricing structures for intended parents: an Essential Program with a fixed agency fee (variable total based on surrogate expenses) and a Guarantee Program with more predictable costs. The agency does not publish compensation figures publicly — surrogates should request a full breakdown during intake.

For Intended Parents

• Two program tiers: Essential (fixed agency fee, variable total) and Guarantee (more predictable cost structure)
• Established Portland network with over 30 years of local legal and clinical connections
• Full escrow management — surrogate compensation and expenses held in a secure account
• Surrogates accepted nationwide, with Pacific Northwest concentration
• Coordination with Oregon reproductive attorneys experienced under the SB 163 framework

For Surrogates

• Compensation details disclosed during intake — ask for the 2026 schedule specifically
• Payments begin after confirmed heartbeat ultrasound; remaining balance paid after delivery
• Reimbursements for actual expenses — receipts and documentation required
• Portland-based matching; personal interview and questionnaire for surrogate-IP pairing

The trade-off: NWSC uses a traditional reimbursement model, meaning surrogates track and document actual expenses rather than receiving a flat package upfront. For surrogates who prefer a confirmed, all-in number from day one, this is worth comparing directly against Physician’s Surrogacy’s flat-rate structure.

Best For: Intended parents and surrogates who want a locally rooted Oregon agency with a 30-year track record in the Portland community.

3. All Families Surrogacy (Portland-Based, Below-Average Agency Fees)

All Families Surrogacy (AFS) launched in 2012 and operates as a Portland-based boutique agency run largely by former surrogates. The agency positions itself on affordable agency fees and a close-knit coordinator model — sized to offer personal attention without the overhead of a large national program.

AFS publishes IP cost estimates on its website: the Full Service program runs $110,000–$145,000+ (estimated predictable cost, excluding IVF and egg donor fees), and the Case Management Program runs $96,000–$128,000+. Surrogate compensation figures are not published publicly.

For Intended Parents

• Full Service program at $110,000–$145,000+ estimated — one of the lower agency-fee structures in Oregon
• Case Management Program ($96,000–$128,000+) for families who recruit their own surrogate
• LGBTQ+ inclusive; team includes former surrogates with personal journey experience
• SEEDS Ethics member — external ethical standards body for surrogacy and egg donation
• Portland-based coordination; local legal and clinical referral network

For Surrogates

• Coordinator model built around personal relationships — smaller caseloads than national agencies
• Post-delivery and postpartum support for surrogates after birth
• Application and screening process coordinated locally in Oregon
• Compensation figures available upon inquiry — not published on the public site

The gap to know: AFS does not have onsite physicians. Medical coordination happens through partner fertility clinics, not agency-employed OB/GYNs. For surrogates and intended parents who want physician oversight built into the agency model — not delegated to the IVF center — that comparison matters.

Best For: Intended parents prioritizing lower agency fees and a boutique Portland experience over national scale or physician-level oversight.

4. Oregon Surrogacy Center (Portland-Based Full-Service Agency)

Oregon Surrogacy Center is a Portland-based agency focused on the Oregon market. It offers surrogacy and egg donation services with programming aimed at LGBTQ+ families, heterosexual couples, and international intended parents. Total IP cost estimates range from $90,000 to $150,000+, though actual totals depend heavily on surrogate compensation, medical costs, and insurance.

For Intended Parents

• Dedicated local Oregon program — Portland-area clinic and legal referral network
• International intended parent support — multilingual coordination for international clients
• LGBTQ+ inclusive matching with experience across family types
• Combined surrogacy and egg donation services on one platform
• Estimated IP total: $90,000–$150,000+ (highly variable based on surrogate expenses and insurance)

For Surrogates

• Oregon-based screening and local coordinator support throughout the journey
• Pre-matching screening process handled locally in Portland
• Surrogate compensation details available through agency intake — not published publicly
• Support focused on both emotional and logistical aspects of carrying

One disclosure worth noting: Oregon Surrogacy Center does not publish surrogate compensation figures or match timelines on its public site. Intended parents should request a full cost sheet during consultation and ask specifically what’s included versus billed separately.

Best For: Intended parents who want a fully Oregon-based agency with local coordination and a combined surrogacy and egg donation program.

5. Circle Surrogacy (Nationally Established, Strong LGBTQ+ Track Record)

Circle Surrogacy is one of the most established national agencies in the U.S., founded in Boston in 1995. It actively serves Oregon intended parents and surrogates, with specific state guidance for Portland, Bend, Eugene, and other Oregon communities. Circle’s Journey Protection™ Program bundles agency fees, surrogate compensation, and legal fees into one all-inclusive cost — appealing to IP families who want predictability across unlimited embryo transfers.

For Intended Parents

• Journey Protection™ Program: all-inclusive fixed cost covering unlimited transfers and rematches
• Publicly estimated IP total: $160,000–$200,000+ depending on program tier
• 30+ years of experience; established LGBTQ+ program with deep community ties
• Egg donation coordination available through Everie partnership — one coordinated team
• Surrogates matched nationwide, with active Pacific Northwest presence

For Surrogates

• Compensation varies; Oregon-specific figures available through agency intake
• National screening infrastructure with local state legal compliance
• Active referral network in Portland and across Oregon’s major cities
• Reimbursement model — expenses covered based on actual documented costs

The gap worth naming: Circle does not have onsite physicians. Surrogate screening and medical coordination run through partner IVF centers, not agency-employed OBs. For intended parents who want clinical accountability to sit with the agency — not just the fertility clinic — Physician’s Surrogacy is the only option that provides it.

Best For: Intended parents who want a nationally recognized agency with an unlimited-transfer protection program and a strong 30-year LGBTQ+ track record.

6. American Surrogacy (Broad Nationwide Program, Transparent IP Cost Tiers)

American Surrogacy is a Kansas City-based national agency that actively serves Oregon. It publishes one of the more transparent IP cost structures of any national agency — with a Foundation Program at $189,500+ and a Limited Risk Program at $204,500+. Oregon is listed as an active state for surrogate matching and IP services.

For Intended Parents

• Foundation Program: $189,500+ — lower upfront cost with more financial risk on the IP side
• Limited Risk Program: $204,500+ — financial protections for failed transfers and rematches
• Match time: 1–4 months for most programs
• 24/7 case manager access; Oregon-specific legal referral network
• LGBTQ+ inclusive across all programs

For Surrogates

• Oregon-based surrogates accepted; compensation details available through intake
• Dedicated Oregon surrogate recruitment and screening process
• Oregon insurance note: American Surrogacy flags that Oregon’s lack of a surrogacy insurance lien cap can add unpredictable health insurance costs on itemized programs
• Post-delivery support provided through case manager network

The primary limitation: American Surrogacy’s total cost runs higher than most local Oregon agencies, and the reimbursement model requires surrogates to document and track expenses throughout the journey. Surrogates who want a confirmed flat-rate package should compare directly with Physician’s Surrogacy.

Best For: Intended parents who want published program pricing with clear risk-protection tiers and a nationally active agency covering Oregon.

Oregon Surrogacy Law: What You Need to Know

Oregon’s legal environment for surrogacy changed in 2025. The Oregon Legislature passed Senate Bill 163, which repealed the old assisted reproduction statutes (ORS 109.239–109.247) and replaced them with a comprehensive parentage framework modeled on the Uniform Parentage Act. The new gestational surrogacy provisions sit at ORS 109.222–109.244. This is the most meaningful update to Oregon surrogacy law in decades — and most agencies haven’t updated their guidance yet.

• Gestational surrogacy is fully legal in Oregon — ORS Chapter 109 explicitly governs gestational surrogacy under SB 163 (2025). Courts have consistently upheld it.
• Pre-birth parentage orders are routinely granted for gestational surrogacy under SB 163’s ORS 109.238 and 109.242. No court hearing required — documents filed electronically.
• County variability still applies in edge cases — when neither intended parent has a genetic connection to the child, outcomes can vary by judge and county. An experienced reproductive attorney is essential.
• Compensated surrogacy is fully legal under ORS Chapter 109. Terms must be documented in a written agreement signed before medical procedures begin.
• Independent legal counsel is required for both the surrogate and intended parents — consistent with the SB 163 framework.
• LGBTQ+ access is fully protected — Oregon courts grant pre-birth orders for same-sex couples, single parents, and unmarried couples, regardless of marital status, sexual orientation, or genetic connection.
• Donor rights updated under SB 163 — SB 163 replaced the old ORS 109.239 donor provisions. Sperm, egg, and embryo donors have no rights or obligations when a valid surrogacy agreement is in place. See SB 163, Section 2 for full definitions.
• No residency requirement — international intended parents can pursue surrogacy in Oregon under the same framework as domestic parents. Immigration counsel recommended for citizenship pathway questions.
• No agency licensing requirement — unlike New York, Oregon imposes no state-level credentialing. Screening standards and clinical oversight vary entirely between providers.
• Insurance lien nuance — Oregon’s health insurance laws do not cap surrogacy-related insurance liens. On itemized journeys, this can add unpredictable costs. Agencies with structured insurance coordination — including Physician’s Surrogacy’s proprietary AIG program — help intended parents plan around this.

What to Look for in an Oregon Surrogacy Agency

Oregon’s SB 163 statute is a meaningful step forward — but a good law doesn’t replace a good agency. Here’s what separates strong programs from average ones in this state.

• Physician oversight in the agency model, not just the IVF clinic. Oregon has no licensing requirement for agencies, which means no statutory floor on surrogate screening standards. Clinical rigor comes from the agency’s own structure, not from state law.
• Compensation transparency from day one. Oregon is one of the highest-paying states for surrogates nationally — compensation should start at $75,000+. Agencies that publish figures versus those that make you ask are signaling something about their transparency.
• SB 163 legal fluency. The new gestational surrogacy statute took effect in 2025. Your agency’s legal referral network should be current — not still advising under the old ORS 109.239 framework.
• Insurance coordination experience. Oregon’s uncapped insurance lien exposure is a real cost variable. Agencies with structured insurance programs reduce that risk; those who handle it ad hoc leave it to the intended parents to absorb.
• Match speed and pool size. A surrogate pool limited to Portland and the Pacific Northwest creates a smaller candidate set. National agencies with Oregon-eligible surrogates typically match faster — at the cost of local proximity.

How We Evaluated These Agencies

Every agency on this list was evaluated across the same six criteria. Here’s how the research was done.

Starting Your Surrogacy Journey in Oregon

Oregon’s SB 163 gives intended parents and surrogates something the state has never had before: a codified legal framework that explicitly governs gestational surrogacy agreements. That’s a real advantage. But the law doesn’t select your agency, screen your surrogate, or manage your pregnancy. Those decisions still belong to you.

For intended parents matching in Oregon, the physician-oversight question is the one worth asking first. Oregon’s best surrogacy agencies operate in a state with no agency licensing requirement — so clinical standards vary entirely by what each agency brings to the process, not what the law mandates. There’s one agency in the country where that oversight sits with onsite OB/GYNs from match through delivery. Physician’s Surrogacy’s Flat-Rate Surrogacy program starts at $140,000–$170,000+, with no agency fees until your match is confirmed and full pay transparency from day one.

For surrogates, Oregon is one of the highest-paying states in the country — compensation starts at $75,000+ through Physician’s Surrogacy’s flat-rate package, confirmed before you sign with no receipts to track.

For more state-by-state surrogacy comparisons, the guides below evaluate agencies in each state using the same six criteria used here.

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.