7 Best Surrogacy Agencies in Texas (2026)

Texas is one of the largest surrogacy markets in the United States — and for good reason.

The state has more active surrogates than almost anywhere else in the country, a clear statutory framework for gestational surrogacy contracts, and fertility clinics in every major city.

For intended parents, that means options. For prospective surrogates, it means real competition for the best compensation packages.

Choosing the right agency from that pool is where most people get stuck. Every agency makes similar claims about support, screening, and matching. Very few let you evaluate what actually matters: who is overseeing the medical process, how fast they can match, and exactly what surrogates earn. This guide does that work for you.

We’ve compared seven of the best surrogacy agencies in Texas for 2026, evaluated for both intended parents and surrogates. Physician’s Surrogacy appears first — we’re transparent about that — and every other agency on this list has earned its place on verifiable facts.

7 Best Surrogacy Agencies in Texas

Here is a quick comparison of all seven agencies, followed by a full breakdown of each.

1. Physician’s Surrogacy (Serves Texas)

Texas has the largest active surrogate population in the country — and Physician’s Surrogacy draws from that pool while adding something no other agency in the state can offer: board-certified obstetricians employed directly by the agency.

While other agencies rely on coordinators to manage the medical process, Physician’s Surrogacy has OB/GYNs on staff who design the screening protocols, monitor clinical communications after every appointment, and can consult peer-to-peer with a surrogate’s managing OB if complications arise.

The agency is headquartered in San Diego and serves intended parents and surrogates nationwide, including across Texas. Its Advisory Board includes specialists in maternal-fetal medicine, neonatal care, and OB/GYNs. Texas surrogates don’t need to travel to California. Pre-screening and prenatal care are coordinated locally.

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. How we match.
• Preterm delivery rate 50% below the national average — a direct result of physician-designed screening.
• Optional OB-ordered antenatal testing: Non-Invasive Prenatal Testing (NIPT), NT Sonogram, AFP Quad Screen, and Fetal Echocardiogram.
• 24/7 multilingual coordinator access; international program including WeChat support for Chinese intended parents.

For Surrogates

• Flat-rate package starting at $60,000 for first-time Texas surrogates, with no receipt tracking. 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 reimbursement claims required.
• All funds secured in escrow before the journey begins.
• 3–6 months of post-delivery support — longer than most agencies publicly offer.
• The Medically Cleared Program allows surrogates to complete medical and psychological clearance before matching, eliminating the 3–5 week post-match screening wait.

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 physician-grade medical oversight, fast matching, and fixed and flat pricing across four tiers with no fees until match. Texas surrogates who want the strongest medical safety program available and flat-rate compensation secured through escrow before the journey begins.

2. Hatch Fertility (Serves Texas)

Hatch Fertility was founded in 1991 and is one of the most established agencies operating in Texas. Based in Los Angeles, Hatch serves Texas intended parents and actively recruits Texas surrogates. The agency offers egg donation and surrogacy in a single program, partnering with a fertility clinic for physician oversight of the medical stages.

For Intended Parents

• Over 30 years of operation, with more than 8,000 successful journeys facilitated.
• Combined egg donation and surrogacy services — a significant advantage for 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: $90,000–$200,000+ depending on program and journey variables. Match speed: approximately 3–10 months.

For Surrogates

• Total base compensation starting at $61,100 for first-time Texas 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.
• Staff composed largely of former surrogates and egg donors.

Physician oversight at Hatch comes through a clinic partnership rather than onsite OB/GYNs employed by the agency. For intended parents who need egg donation and surrogacy coordinated in one place, Hatch’s integrated model is one of the stronger nationally available options.

Best For: Texas 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 an agency staffed by people with personal surrogacy experience.

3. Circle Surrogacy (Serves Texas)

Circle Surrogacy was founded in 1995 and has served Texas intended parents and surrogates for over 30 years. Headquartered in Boston, Circle’s strength is its legal and financial infrastructure: in-house attorneys and a bonded escrow program that has protected funds for more than 5,000 clients.

For Intended Parents

• Over 3,800 babies born through their programs across three decades.
• 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 specialists in cross-border and LGBTQ+ parentage, experienced with Texas court practice for unmarried and single intended parents.
• Journey Protection Escrow: independently managed, 100% funded upfront before the journey begins.
• 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+ including all benefits.
• Journey Protection Pay Promise: 100% guaranteed compensation backed by fully funded escrow.
• Social worker assigned exclusively to each surrogate for the entire journey.
• Post-delivery benefits through the fourth trimester. Match guarantee of 30 days or less for approved applicants.

Circle is a non-medical agency — clinical oversight comes through the intended parents’ IVF clinic. Its strength is legal infrastructure, financial protection, and three decades of track record.

Best For: LGBTQ+ and married intended parents who want in-house legal support and a financial guarantee program. Surrogates who want guaranteed pay and dedicated social work support throughout the journey.

4. American Surrogacy (Serves Texas)

American Surrogacy is a national agency that actively serves intended parents and surrogates across the state. The agency offers three program tiers designed to match 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.

For Intended Parents

• Three program options: Limited Risk Program ($202,500+) with coverage for failed transfers and rematches; Foundation Program ($187,500+) with traditional fee structure; Independent Program ($24,000+) for coordination-only when a surrogate is already identified.
• Match speed: 1–4 months. That puts American Surrogacy among the faster national agencies serving Texas.
• Every intended parent is assigned a dedicated case specialist throughout the journey.
• Compensation managed through a licensed escrow service. Serves single parents and LGBTQ+ families.

For Surrogates

• Texas 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 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 as expected. The Limited Risk Program offers better protection for families who want predictable costs.

Best For: Intended parents who want program flexibility and a faster-than-average national agency with Texas surrogate access. Surrogates in Texas who want clear compensation terms and a nationally established case management team.

5. Simple Surrogacy (Dallas, TX)

Simple Surrogacy is the oldest and largest surrogacy agency based in Texas, with over 22 years of operation out of Dallas. Founded and run by an all-female staff, every team member has personal experience in surrogacy — as a surrogate, egg donor, or intended parent.

For Intended Parents

• Over 22 years of Texas-based surrogacy experience — the longest-running agency with a local Texas presence on this list.
• Full-service program coordinating every step from surrogate matching through birth.
• Unlimited free rematching offered to intended parents if a match falls through.
• Texas-based operations mean lower agency overhead and established relationships with local fertility clinics.
• All-inclusive support for traditional, LGBTQ+, and single-parent families regardless of background.

For Surrogates

• Total base compensation in Texas: $40,000–$50,000+ depending on experience — lower than national agencies on this list.
• Monthly expense allowance of approximately $500.
• Texas-based pre-screening with preferential rates at local fertility clinics.
• Staff with firsthand surrogacy experience provides a uniquely personal support perspective.

Simple Surrogacy’s compensation range is the lowest among agencies on this list. The trade-off is a deeply Texas-rooted team with local clinic relationships and over two decades of experience in the Texas legal and medical environment.

Best For: Intended parents who want a long-established, locally rooted Texas agency with lower overhead costs. Surrogates who value working with an all-female Texas team with firsthand surrogacy experience and strong local clinic access.

6. Shared Conception (Houston + Dallas)

Shared Conception is a boutique Texas surrogacy agency founded in 2011, operating out of two Texas offices — Houston and Dallas. The agency focuses exclusively on gestational surrogacy and is structured for high-touch, personalized service at a lower agency fee than national programs.

For Intended Parents

• Two Texas offices in Houston and Dallas, both near major international airports — a practical advantage for international intended parents.
• Published full-service agency fee of $28,000 — one of the lowest published fees among reputable agencies on this list.
• No payment required until match confirmed; fees paid in three installments across the journey.
• Non-commingled, independent escrow accounts — client funds are never pooled with agency funds or other clients’ funds.
• Serves traditional couples, LGBTQ+ families, single parents, and international intended parents.

For Surrogates

• Surrogate compensation is negotiated individually and not published publicly — request a full breakdown during consultation.
• Strict screening process with dedicated coordinator support from initial inquiry through delivery.

Shared Conception’s $28,000 agency fee is one of the lowest published rates among reputable agencies, but total journey costs still reach $100,000+ once surrogate compensation, legal fees, and medical expenses are factored in. The boutique model means more individual attention but a smaller active surrogate pool than national programs.

Best For: Intended parents who want a local Texas agency with lower agency fees, transparent payment terms, and personalized case management. Surrogates in the Houston or Dallas area who want a boutique, relationship-driven Texas agency experience.

7. ConceiveAbilities (Serves Texas)

Founded in 1996, ConceiveAbilities is a national agency that serves Texas intended parents and surrogates through its broader U.S. network. The agency is known for its Matching Matters philosophy, which prioritizes long-term compatibility between intended parents and surrogates over raw speed.

For Intended Parents

• Nearly 30 years of operation. Combined egg donation and surrogacy in a single program.
• “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 paired on shared values alongside standard logistics.
• Match speed: approximately 2–6 months.

For Surrogates

• Total base compensation up to $75,000 for first-time carriers — among the highest published first-timer rates nationally, available to Texas surrogates as well.
• Pre-pregnancy compensation available. Strong surrogate support and retention — many surrogates return for second and third journeys.

ConceiveAbilities’ $75,000 first-time surrogate base compensation is a standout for Texas surrogates, who typically earn less through Texas-based agencies. The trade-off is longer match timelines and total intended parent costs among the higher end on this list.

Best For: Texas surrogates who want maximum first-time base compensation and a national agency with strong retention. Intended parents who prioritize long-term surrogate compatibility and want combined egg donation services in one program.

How We Evaluated These Agencies

These seven agencies were selected based on criteria that matter for both sides of the surrogacy relationship. See our full guide to best surrogacy agency features.

Texas Surrogacy Law: What You Need to Know

Texas is one of the most surrogacy-friendly states in the country, with a dedicated statutory framework that gives both intended parents and surrogates clear legal protections before a single embryo transfer takes place.

Gestational surrogacy in Texas is governed by Texas Family Code §§160.751–160.763. See also: surrogacy laws by state. Here is what the law actually requires:

• The gestational agreement must be in writing and signed by all parties — including the surrogate, her spouse if she is married, and the intended parents.
• The contract must be validated by a Texas court before embryo transfer. This court validation establishes parentage before birth and makes the agreement legally enforceable.
• The agreement must be finalized at least 14 days before the scheduled embryo transfer date.
• At least one party — either the surrogate or the intended parents — must have resided in Texas for at least 90 days before a parentage action is filed.
• The surrogate cannot use her own eggs. Under §160.754(c), eggs must come from an intended parent or a donor — which is why Texas law governs gestational surrogacy only, not traditional surrogacy.
• Donors of eggs, sperm, or embryos are not legal parents of the resulting child under §160.702.

The statute specifically references married intended parents, but Texas courts have routinely validated gestational agreements and issued pre-birth parentage orders for unmarried couples, single intended parents, and LGBTQ+ families. Pre-birth parentage orders are standard in Texas, meaning the intended parents’ names go directly on the birth certificate. Post-birth adoption proceedings are typically not required.

What to Look for in a Texas Surrogacy Agency

The legal framework above sets the floor. What separates a strong agency from an average one comes down to five things. See also our guides to choosing a surrogacy agency and surrogacy agency red flags.

• Medical oversight. Texas surrogacy contracts require medical screening, but they don’t specify who conducts it or how rigorously. Most agencies outsource medical decisions entirely to the IVF clinic. Only one agency on this list has physician involvement built into the agency itself.
• Matching speed. Texas has the largest surrogate population in the country. Agencies with well-maintained pre-screened pools should be matching faster than the industry standard of 6–12 months.
• Pricing transparency. Texas’s lower cost of living makes it one of the more affordable states for surrogacy. Flat-rate and guarantee programs still vary widely — always ask what’s included and when fees are charged.
• Surrogate compensation. Texas surrogates typically earn less than California surrogates due to cost-of-living differences, but compensation ranges widely across agencies. The full package matters as much as the headline number: monthly allowances, escrow protections, and post-delivery support all factor in.
• LGBTQ+ and single parent support. Texas courts routinely issue pre-birth orders to LGBTQ+ and single intended parents, but the process requires an experienced reproductive attorney. Agencies with dedicated legal expertise for these family types are worth prioritizing.

The Question Every Texas Surrogate and Intended Parent Should Ask

Choosing among the best surrogacy agencies in Texas comes down to two separate questions — one for each side of the journey.

For intended parents: who is actually managing the medical process? For surrogates: who is responsible for your health if something goes wrong mid-pregnancy? At most agencies on this list, the honest answer to both is the IVF clinic. At Physician’s Surrogacy, the answer is a board-certified OB/GYN employed by the agency itself.

Texas gives you the legal infrastructure to pursue surrogacy with confidence. Your agency determines the quality of clinical oversight and financial protection that sits on top of that foundation. For intended parents and surrogates weighing the best surrogacy agencies in Texas, those two questions — medical accountability and financial transparency — are the ones worth asking before everything else.

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.