There’s a lot of information out there about completing a gestational surrogacy in California, and we know it can be difficult sorting through it all. So, we have put together some important things you need to know before starting a journey in California.
Also known as host or full surrogacy, in this arrangement, the Surrogate Mother is not genetically related to the baby she’s carrying in her womb. In this case, the Intended Parents or donors provide the egg and sperm used to create the embryo, which is then transferred into the Surrogate Mother’s womb using IVF.
Since the Gestational Carrier does not provide the eggs, she has no genetic connection with the child. The Intended Parents will shoulder all the parenting responsibilities once the baby is born.
We understand the time, resources, and effort it took to create your embryos. Selecting your IVF center, choosing the right Reproductive Endocrinologist, the egg retrieval process, and finally the anticipation of receiving your PGT results.
During your initial consultation, our goal is for you to understand our process, get to know us, and be confident that your Surrogacy journey will be as smooth as possible.
We will go over all your preferences, goals, and requirements that are vital in creating your unique path to parenthood. We want to learn more about the physician you are currently working with, so we can find a Surrogate Mother that will fit both you and your IVF center’s preferences.
Our consultative approach takes into consideration that every journey is unique, and one pre-defined option doesn’t suit everyone’s needs.
Immediately following your consultation, you will receive a quotation based on the scenarios discussed. Your quote outlines all variables, including financial considerations (Surrogate experience, employment status, and location), additional testing preferences, and logistics.
If you have not created an embryo yet, we will refer you to one of our partner fertility clinics to start the process. In the case that you already have embryos, eggs, or sperm that you would like to use, the transfer to a U.S. clinic can be initiated. Your Pathway To Parenthood Plan that we will create for you will take all of these factors into consideration.
During the Surrogate matching process, our team aligns your goals, preferences, and center requirements to create your ideal match. You are presented with Surrogates who have passed our rigorous social and medical pre-screening processes, which include a comprehensive background check, internal OB review of prior pregnancy, delivery records, and preliminary diagnostic screenings.
We further confirm the candidate meets the gestational carrier criteria of your IVF center and Reproductive Endocrinologist.
To start the complimentary matching process, we will collect the necessary identification followed by hand-selecting your matches based on your pathway to parenthood plan. Picture profiles of your potential Surrogates are then sent to you.
Once you’ve selected the profiles that you’re interested in learning more about, we will share their public profile with you. If there are any FDA or medical considerations that a potential Surrogate needs to be made aware of, one of our physicians are available to discuss this with them before moving forward. The final step is to schedule a meet-and-greet video chat with your potential Surrogate, allowing you to move forward with confidence.
After confirmation of a match by both you and your Surrogate, our agency agreement is signed. We do not ask you to sign a contract until a two-way match is confirmed. Your Surrogate then goes through a comprehensive medical screening at your IVF center.
A psychological screening is conducted, ensuring that your Surrogate is medically and emotionally prepared to prioritize a surrogacy journey.
Once your Surrogate completes the screening, a medical clearance letter is issued, allowing you to proceed to the legal contract phase. Both you and your Surrogate will have your own legal representation. The legal contract phase takes approximately 2— 4 weeks; however, your legal representation stands by to support you and your Surrogate throughout the journey.
Physician’s Surrogacy acts as a liaison between your Reproductive Endocrinologist, your Surrogate, and your IVF coordinator, providing additional resources and support until graduation.
We help with the coordination of logistics and monitoring, including making sure that your Surrogate Mother maintains timely contact with the IVF center and attends all necessary appointments.
Collaborating with your IVF center guarantees that we are working together as a team, providing you with the best possible outcome.
You’ll receive updates directly from Physician’s Surrogacy, rather than the Surrogate, after every appointment. This ensures that you’re receiving timely and accurate information regarding your baby. As an OB-managed agency, Physician’s Surrogacy provides you with the option of electing for additional antenatal testing to be done providing reassurance of the healthy progress of your baby.
Antenatal testing includes ultrasounds and blood work to monitor your baby’s development. While often reserved for high-risk cases elsewhere, we offer these optional screenings to give you extra peace of mind. Our team coordinates these tests directly with your surrogate’s doctor.
Our medical oversight continues even after you leave (“graduate”) the fertility clinic. We coordinate advanced screenings, such as NIPT (non-invasive prenatal testing), and communicate the results directly to your surrogate’s OB. This peer-to-peer medical collaboration keeps everyone aligned and is unique to our program.
The culmination of this exciting journey is welcoming your newborn into the world. Leading up to the delivery, you and your Surrogate Mother enjoy round-the-clock support, preparing everyone for the arrival of your bundle of joy. Once the baby is born and in your loving care, we continue to provide post-delivery support to the Surrogate for an additional 3 to 6 months.
For international parents, Arrangements can be made for on-site concierge support during the delivery of your baby and the hospital stay.
If needed, help is provided to secure passports and visas, allowing you to focus on your new family.
Surrogacy gives couples and individuals the chance to have their own babies – regardless of their ages, backgrounds, or sexual orientations.
Women who are unable to carry a pregnancy due to uterine abnormality, repeated IVF failures, delayed parenthood etc.
Intended parents who want to avoid transferring a genetic disease to their offspring
Heterosexual couples who are finding it difficult to become pregnant
LGBTQ+ people who want to have a genetically related baby
California is one of the best locations for surrogacy in the US. The state not only allows all forms of surrogacy, but it also has laws that protect the rights of the Intended Parents, Surrogate, the child, and even the Egg Donor (if one is required).
Another thing that makes California an ideal destination is how easy it is to establish the parentage of a surrogate-born baby in the state.
In most cases, the Surrogate will not even need to appear in court. Both parties just need to go through and sign the necessary legal documentation and submit it to the lawyers in charge of the matter.
California is also one of the most surrogacy-friendly states for Intended Parents from sexual orientation or marital status.
The total costs of completing a surrogacy in California range from $120,000 to $160,000.
Finding a Surrogate is one of the most critical steps in the process. To get an ideal match, you first need to determine what to look for in a Gestational Carrier, the kind of relationship you want to have with her, and your expectations for surrogacy. This will make it easier for you to find a surrogate mother on your own or to know whether your agency has offered you a suitable match.
Each state in the U.S. has its own laws concerning surrogacy, and requirements and regulations vary from one country to another. Hence, our legal team makes sure the surrogacy laws in the Surrogate Mother’s home state are in line with those of the Intended Parent’s home country/state.
Intended parents and surrogates will have phone calls or physical meetings with the Physician’s Surrogacy team to determine their personality regarding surrogacy. We also consider both parties’ expectations and hopes for the journey, including the number of embryos to transfer and the kind of communication they prefer.
It is important that both parties have the same opinion regarding pregnancy termination and selective reduction. At Physician’s Surrogacy, we make sure to match intended parents with a surrogate that has the same views as them in case there’s a need to selectively reduce or terminate the pregnancy.
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With the largest surrogacy program in the US, our hopeful parents don’t have to wait a long time before beginning their journey. Our comprehensive service model also enables us to lower the average time of a surrogacy journey by 200% or even more.
Our selection standards are way stricter than the standards put out by the FDA. Before intended parents pay for the surrogate’s medical screening and travel expenses, potential surrogates are required to undergo preliminary diagnostic screening to make sure they are physically ready and committed to the process.
This often includes basic medical screening, a background check, psychological evaluation, and a medical records review by a qualified OB physician.
One of our doctors will monitor the surrogate mother and baby through reports and interaction with their obstetrician and IVF expert. We will then send comprehensive reports to the intended parents, who can talk to our in-house doctor directly if they have any concerns.
Both the surrogates and intended parents will have a lawyer who will represent them during contract negotiation to prevent conflicts of interest. Besides, the surrogacy contract will contain clear terms and guidelines for both the intended parents and surrogate mother.
Our independent legal counsel will also help establish the baby’s parentage and have your name included in the birth certificate.
Since each party’s needs may be different, we provide intended parents and surrogates with 4 distinct support teams, who will work together to ensure a favorable outcome for everyone involved. Intended Parents and Surrogates will both have dedicated case managers to personally support them through every step of the way.
There are many organizations that want to help you build your family through surrogacy by helping to finance your journey. These organizations provide non-repayable grants for those who meet their qualifications. Below are some organizations listed, that ease the financial burden:
Our Surrogate was originally going to visit her previous OB who had delivered her children. However, due to the distance from where she lived to the hospital, she needed to see a doctor at a closer location. Through their vast network, Physician’s Surrogacy was able to find a practicing OB closer to the hospital and ensured that they had the capacity to handle a high-risk case. They also made sure that the hospital had the proper level NICU. It was all worked out so quickly and our surrogate was able to be seen by the new OB the same week!
My Surrogate was medically cleared and completely healthy when we started our journey, but during a routine check-up, her OB noticed she had an elevated AFP level during the second trimester. Naturally, we all got really scared and imagined the worst-case scenario. Luckily, a physician from Physician’s Surrogacy was able to coordinate a meeting with a Perinatologist, GYN Oncologist, and the OB to devise a plan to ensure that both the Surrogate and baby were safe. I am happy to say our surrogate’s amino fluid tested normal and we have a healthy baby!
Our Surrogate journey was relatively easy until she had unexpected bleeding and pre-term contractions. A physician stepped in and did a peer-to-peer with her managing OB and they both decided on the proper protocol in order to ensure a safe journey and delivery. Our Surrogate was put on bed rest and she had our full support along with her Surrogate support manager, case manager and the entire Physician’s Surrogacy team! Without our agency being physician managed, I don’t know what our outcome would have been! I am so happy our Surrogate was healthy and safe and so was our baby boy!
Yes. Many families begin surrogacy planning while they’re still creating embryos. We can connect you with trusted IVF clinics or coordinate with your current clinic to freeze embryos for future transfer. Matching and legal work can move forward in parallel. Learn more on our Become a Parent page.
Our surrogates here at Physician’s Surrogacy apply from many US states and complete medical, psychological, and background screening before joining the program. We then match you with someone whose preferences, location, and clinic fit your needs. See how matching works on our Become a Parent page.
The safest way to find a surrogate is through a reputable, physician-managed agency like Physician’s Surrogacy. We protect you by pre-screening candidates before you match. Our Medically Cleared program means your surrogate has already passed rigorous medical and psychological checks, minimizing the risk of a false start or failed screening later. Learn about our process on the Become a Parent page.
At Physician’s Surrogacy, our programs are Fixed and Flat. We offer four options: Physician Plus at $193,000 (12-14 months, priority medical access), Surrogacy Flat Rate at $145,000 (18-22 months), Surrogacy Livebirth Guarantee at $208,000 (18-22 months, all-inclusive GC IVF), and All Inclusive Bundle at $255,000 (18-22 months, donor eggs + GC IVF included).
At Physician’s Surrogacy, surrogacy costs are Fixed and Flat. Our four programs range from $145,000 to $255,000 depending on your needs. There are no hidden fees and no surprises after matching.
A gestational surrogate is a woman who carries a pregnancy created through IVF using eggs and sperm from the intended parents or donors. Because the embryo comes from those eggs and sperm, she has no genetic link to the baby but receives medical care and compensation. Learn more on our Gestational Surrogacy page.
A surrogate mother, or gestational carrier, is a woman who carries a pregnancy for intended parents using an embryo created through IVF. The embryo comes from the parents’ or donors’ eggs and sperm, so the surrogate is not genetically related to the baby. Read more on our Gestational Surrogacy page.
Surrogacy is an arrangement where a woman carries and delivers a baby for intended parents who cannot safely carry a pregnancy. In gestational surrogacy, embryos from the parents or donors are transferred to the surrogate’s uterus using IVF. The latter has no genetic link to the baby. Learn more in How Does Surrogacy Work.
Our program at Physician’s Surrogacy welcomes anyone to be parents. We’re talking single intended parents, heterosexual couples, and LGBTQ+ families. We focus on medical clearance, emotional readiness, and your ability to meet financial and legal requirements, not marital status or gender identity. During your consult, we review your situation and suggest the safest path forward. See more on our Become a Parent page.
People consider a surrogate when pregnancy is medically risky or impossible. That may include uterine factors, repeated IVF failure, certain heart or autoimmune conditions, or a history of complicated pregnancies. Same-sex male couples and single men also use gestational surrogacy. Your fertility specialist can tell you if surrogacy is a safe option.
Surrogacy costs can vary based on the surrogate’s location, experience, pregnancy history, insurance, and the benefits you choose. Agency fees, legal work, and medical care also affect the total. During your consult, we review each line item with you. See our surrogacy cost guide for details.
Many women choose to become gestational surrogates because they want to help someone who can’t carry a pregnancy, often after seeing infertility in their own family or community. Others simply love being pregnant and feel called to support hopeful parents while receiving fair compensation.
Yes, there will be contracts with your surrogate. Once you match, each side works with an independent attorney to sign a detailed gestational surrogacy agreement. It covers medical decisions, payments, contact preferences, insurance, and delivery plans. Our team coordinates the process. Learn more in our surrogacy legal overview.
Most international parents travel to the US at least once for the birth and time with their baby. Many choose an additional trip early on to create embryos and meet the surrogate in person. If you prefer fewer trips, embryos or eggs/sperm can often be shipped to a US clinic instead. Details are outlined on our Become a Parent page.
The surrogacy process usually moves through consultation, matching, screening, legal contracts, embryo transfer, pregnancy, and delivery. You meet your team, review surrogate profiles, complete medical and legal steps, then your IVF clinic handles treatment while we coordinate the journey. Read the full timeline in How Does Surrogacy Work.
It depends on the agency you choose to work with. Most agencies have a 6-18 month waiting list to match with a surrogate. Some also require you to sign a contract and pay agency fees for them to begin the process of matching. Physician’s Surrogacy offers complimentary matching, and you can match with your Surrogate as quickly as a week. On average, the typical timeline is two weeks.
Contact is flexible and tailored to everyone’s comfort level. Some families like regular calls and text updates; others prefer periodic check-ins. You, your surrogate, and your coordinator discuss expectations during matching and include them in your agreement, and the relationship often grows naturally over time. For guidance, see our surrogate relationship article.
All funds for your journey—including surrogate compensation and approved medical or travel expenses—are held in a secure escrow or trust account managed by a licensed third party. They pay your surrogate according to the contract, so money never passes directly between you and her. This keeps finances transparent and protects everyone. Learn more in Financing Your Surrogacy Journey.
Surrogacy has high success rates, but results depend on embryo quality, the surrogate’s health, and the IVF clinic’s experience. As an OB-managed agency, we uniquely offer Medically Cleared surrogates who have passed screening before you even match. This proactive oversight minimizes the risk of canceled cycles and fast-tracks your journey to a healthy pregnancy. You can learn more about success factors on our Gestational Surrogacy page.
Intended parents often combine several options: fertility or medical loans, surrogacy grants, personal savings, and lines of credit. For instance, we partner with specialized lenders like CapexMD, Prosper, and SoFi. During your consult, we can review common approaches and share resources that past families have used successfully. For an overview of typical costs and payment ideas, see Financing Your Surrogacy Journey.
No. In US gestational surrogacy, your baby’s birth certificate lists only the legal parents, not the surrogate. Our legal team prepares the proper court orders so your names are on the certificate and you hold full parental rights from birth. For more details, visit our Surrogacy and Birthright Citizenship guide.
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Medical Disclaimer: The information provided here by Physician’s Surrogacy should not be considered as medical advice and is not intended to replace consultation with a qualified medical professional.Price is subject to change without notice.
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A physician stepped in and did a peer-to-peer with her managing OB and they both decided on the proper protocol in order to ensure a safe journey and delivery. Our surrogate was put on bed rest and she had our full support along with her surrogate support manager, case manager and the entire Physician’s Surrogacy team! Without our agency being Ob-Managed, I don’t know what our outcome would have been! I am so happy our surrogate was healthy and safe and so was our baby boy!
My surrogate was medically cleared and completely healthy when we started our journey, but during a routine check-up, her OB noticed she had an elevated AFP level during the second trimester. Naturally, we all got really scared andimagined the worst-case scenario. Luckily, a physician from Physician’s Surrogacy was able to coordinate a meeting with a Perinatologist, GYN Oncologist and the OB to devise a plan to ensure that both the surrogate and baby were safe. I am happy to say our surrogate’s amino fluid tested normal and we have a healthy baby!
Our surrogate was originally going to visit her previous OB who had delivered her children. However, due to the distance from where she lived to the hospital, she needed to see a doctor at a closer location. Through their vast network, Physician’s Surrogacy was able to find a practicing OB closer to the hospital and ensured that they had the capacity to handle a high-risk case. They also made sure that the hospital had the proper level NICU. It was all worked out so quickly and our surrogate was able to be seen by the new OB the same week!
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