What Happens If Intended Parents Back Out of Surrogacy?

You’ve thought about becoming a surrogate. You’ve researched compensation, screening, time commitment. But one question keeps coming back: what if the intended parents change their mind?

It’s a fair worry. You’d be carrying a child for someone else — and the idea that they might walk away mid-journey feels like a risk most agencies gloss over with vague reassurance.

We’re not going to do that here. Instead, we’ll look at what actually happens when intended parents back out, examine real cases where it went wrong, and explain the legal and financial protections that keep surrogates safe when the system works correctly.

Key Takeaways

Intended parents backing out is extremely rare — their financial and emotional investment is already substantial before pregnancy begins
A legally binding surrogacy contract, independent escrow accounts, and pre-birth parentage orders protect surrogates at every stage
High-profile cases like Sherri Shepherd’s custody dispute and the Zheng Shuang scandal show that courts hold intended parents accountable
Choosing a physician-led agency with proper escrow and legal infrastructure eliminates nearly all risk for surrogates
Working with independent legal counsel before embryo transfer is your single most important safeguard

Why Intended Parents Almost Never Back Out

Before we look at worst-case scenarios, some context. Most intended parents arrive at surrogacy after years of fertility treatments, pregnancy losses, or medical barriers. Surrogacy is rarely someone’s first choice — it’s usually the path they land on after everything else didn’t work.

That emotional commitment comes with a financial one. By the time embryo transfer happens, intended parents have already spent tens of thousands of dollars on agency fees, legal contracts, IVF procedures, psychological evaluations, and insurance arrangements.

Surrogacy attorney Andrew Vorzimer tracked 81 cases where intended parents changed their mind over the lifetime of the industry. That’s a tiny fraction of the thousands of surrogacy journeys completed in the U.S. each year.

So the short answer: it almost never happens. But “almost never” isn’t “never.” And that’s exactly why legal protections exist.

When It Has Gone Wrong: Real Cases

Headlines about intended parents backing out are rare — but when they happen, they’re dramatic enough to make national news. These cases shaped surrogacy law and give us a clear picture of what courts do when things fall apart.

Sherri Shepherd’s Custody Dispute (2014)

TV host Sherri Shepherd and her husband Lamar Sally used a donor egg and a gestational surrogate to start a family. Midway through the pregnancy, their marriage collapsed. Shepherd tried to void the surrogacy agreement entirely.

She refused to sign the pre-birth order, skipped the delivery, and fought to keep her name off the birth certificate. She’d spent over $100,000 on the surrogacy process — and still attempted to walk away.

Courts didn’t let her. A Pennsylvania judge ruled the surrogacy contract was legally binding and declared Shepherd the child’s legal mother. She was ordered to pay $4,100 per month in child support. Her appeals — all the way to the Pennsylvania Supreme Court — failed.

⚖️ What the Court Ruled: Shepherd v. Sally

The Pennsylvania Court of Appeals ruled that intent established in a surrogacy contract is binding — even when the intended parent has no genetic connection to the child and the marriage that prompted the agreement has ended.

In plain terms: You can’t un-sign a surrogacy agreement because your personal circumstances changed. Courts will hold you to it.

The lesson for surrogates: this case proved that a well-drafted gestational surrogacy agreement (GSA) holds up even under extreme personal conflict between intended parents. Shepherd’s divorce didn’t release her from her obligations to the child — or to the surrogate who carried him.

Zheng Shuang’s International Scandal (2021)

Chinese actress Zheng Shuang and her partner hired two U.S.-based surrogates. When the couple’s relationship ended before the babies were born, Zheng tried to abandon both children. Leaked recordings captured her expressing frustration that it was too late for the surrogates to terminate the pregnancies.

Zheng’s ex-partner raised both children alone in the U.S. for over a year. The fallout destroyed Zheng’s career — Prada dropped her sponsorship, state media condemned her, and multiple TV shows were canceled. The Weibo hashtag about the scandal generated over 3 billion views.

This case shows what happens when surrogacy crosses international borders without strong legal frameworks. The U.S. surrogates in Zheng’s case had their contracts to fall back on, but the situation would have been far simpler if robust escrow and pre-birth parentage orders had been in place from the start.

Baby Gammy and the Limits of Unregulated Surrogacy (2014)

An Australian couple hired a Thai surrogate who became pregnant with twins. When prenatal testing showed one twin had Down syndrome, the surrogate claimed the couple asked her to abort that child. She refused. The couple took the healthy twin sister back to Australia and left the boy behind.

The surrogate — a 21-year-old food vendor with two children of her own — was left to raise a child with complex medical needs on a salary that couldn’t cover his treatment. An online fundraiser raised over $240,000 for Baby Gammy’s care.

Thailand banned commercial surrogacy for foreigners the following year. This case is exactly why surrogacy-friendly U.S. states with strong contract enforcement and pre-birth orders exist — and why working in an unregulated jurisdiction puts surrogates at enormous risk.

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Tip:
Every case where a surrogate was left unprotected involved either no formal contract, weak escrow arrangements, or unregulated international surrogacy. In the U.S., working with a reputable agency and your own attorney prevents all three.

How Surrogacy Contracts Protect You When Intended Parents Back Out

A gestational surrogacy agreement (GSA) is more than paperwork. It’s a legally binding contract — signed before any medical procedures begin — that spells out exactly what happens in every scenario, including the unlikely one where intended parents back out.

Every properly drafted GSA includes provisions for financial obligations regardless of relationship status changes, the intended parents’ responsibility for all medical and pregnancy-related expenses, what happens if intended parents become incapacitated or pass away, and liquidated damages clauses for breach of contract.

Both the surrogate and the intended parents must have separate, independent legal counsel. Your attorney works only for you — their job is to make sure the agreement protects your rights, your compensation, and your health. If you want to understand more about what a typical surrogate contract covers, we’ve written a full breakdown.

Quick Answer

If intended parents back out after the surrogacy contract is signed, they are still legally and financially responsible for the child, your compensation, and all pregnancy-related expenses. Escrow funds are secured before embryo transfer, and courts consistently uphold surrogacy agreements in surrogacy-friendly states like California.

Escrow: Your Financial Safety Net

One of the most concrete protections in modern surrogacy is the independent escrow account. Before embryo transfer begins, intended parents deposit funds into a third-party escrow account that covers your full compensation, monthly allowances, medical expenses, and reimbursements.

The money isn’t sitting in the intended parents’ bank account where they could decide not to pay. It’s held by an independent escrow company, released to you on a set schedule regardless of what’s happening in the intended parents’ personal lives.

This is why escrow fraud cases — like the SEAM case in Houston, where missing surrogate funds led to over $1 million in court-ordered penalties — get so much attention. When escrow fails, surrogates are exposed. A properly funded and independently managed escrow account removes that risk entirely.

Pre-Birth Parentage Orders: Legal Clarity Before Delivery

In California and other surrogacy-friendly states, intended parents obtain a pre-birth parentage order during pregnancy — typically around the second trimester. This court order establishes them as the child’s legal parents before the baby is even born.

Under California Family Code §§ 7960–7962, gestational surrogacy agreements are fully enforceable. Once a pre-birth order is issued, the intended parents’ names go directly on the birth certificate at delivery. The surrogate has no parental rights or duties, and the intended parents cannot disclaim theirs.

This is the legal mechanism that prevented Sherri Shepherd from walking away. And it’s the mechanism that makes domestic surrogacy in states like California, Nevada, and Connecticut far safer than international arrangements without equivalent legal infrastructure. For a broader look at how surrogacy laws vary across the country, we’ve compiled a state-by-state guide.

What Physician’s Surrogacy Does Differently to Protect Surrogates

At Physician’s Surrogacy, we’ve built protections into every stage of the journey — not just the legal stage. Here’s what that looks like in practice.

1. Physician-Led Screening of IPs

We’re the only agency in the U.S. managed by practicing OB/GYNs. Our physicians screen intended parents for medical readiness before matching — not just surrogates. This filters out uncommitted or unprepared IPs before you ever meet them.

2. Independent Legal Counsel

Every surrogate in our program works with her own attorney — paid for by the intended parents. Your lawyer reviews the surrogacy agreement and makes sure every protective clause is in place before anything medical begins.

3. Escrow Funded Before Transfer

Intended parents fund an independent escrow account before embryo transfer. Your full compensation — $55,000–$75,000+ — along with allowances and medical expenses, is secured and disbursed on a fixed schedule.

4. 24/7 Coordinator Access

Our multilingual coordinators are available around the clock. If you have questions or concerns at any point — about your IPs, your contract, or your payments — you have direct access to someone who can intervene immediately.

 

Gestational surrogacy is one of the most medically sophisticated ways a family can be built — and one of the most human. We take the “what ifs” seriously because the women in our program deserve real answers, not vague comfort.

Timeline
Physician’s Surrogacy matches surrogates with intended parents in an average of one week — compared to the industry standard of 6–12 months. Faster matching means less uncertainty and shorter windows of vulnerability for both parties.

What to Ask Before You Sign Anything

No matter which agency you work with, ask these questions before embryo transfer. They’re the clearest indicators of how well you’ll be protected if anything goes sideways.

  • Is my escrow account independently managed? Your compensation should never sit in the intended parents’ personal account or in an agency-managed fund. Third-party escrow is the standard.
  • Do I have my own attorney? Your legal representation should be completely separate from the intended parents’ counsel. Shared representation is a red flag.
  • What does the contract say about IP withdrawal? The GSA should spell out financial obligations if intended parents back out at any stage — including after pregnancy begins.
  • Will there be a pre-birth order? In surrogacy-friendly states, this is standard. If your state doesn’t support pre-birth orders, ask what the alternative parentage pathway looks like.
  • Who manages the medical side? An agency with in-house medical oversight — like an OB-managed program — provides an additional layer of screening for both IPs and surrogates that business-only agencies don’t.

Weighing surrogacy pros and cons is an important part of this decision. The more informed you are before signing, the stronger your position throughout the journey.

Your Protection Starts With Your Agency Choice

The cases that make headlines — Shepherd, Zheng Shuang, Baby Gammy — all share a pattern. Weak legal infrastructure, insufficient escrow protections, or unregulated international jurisdictions left surrogates exposed.

That’s not what surrogacy looks like when it works correctly. In a well-structured domestic surrogacy arrangement with enforceable contracts, pre-funded escrow, pre-birth parentage orders, and dedicated legal counsel, the risk of being left unprotected approaches zero.

At Physician’s Surrogacy, our physician-led model adds another layer. OB/GYN oversight means our screening process — which fewer than 8% of applicants pass — catches potential issues with surrogates and intended parents that business-only agencies miss.

You deserve to go into this journey with your eyes open and your protections locked in. The right agency will welcome your hardest questions — because they’ve already built the answers into the program.

Schedule A Consultation

Frequently Asked Questions

Can intended parents legally walk away from a surrogacy contract? +
In surrogacy-friendly states like California, the contract is legally binding. Intended parents remain financially responsible for your compensation and all pregnancy-related costs, even if they attempt to withdraw.
What happens to the baby if both intended parents refuse custody? +
The intended parents are still the legal parents. Courts can order them to assume custody. If they refuse, the child may be placed for adoption, but the surrogate is not forced to become the parent. A pre-birth order prevents this scenario almost entirely.
Do I still get paid if intended parents back out? +
Yes. Your escrow account is funded before embryo transfer. Payments continue on schedule regardless of what happens with the intended parents, because the money is already set aside in a third-party account.
What if the intended parents divorce during my pregnancy? +
Your GSA already addresses this scenario. Both intended parents remain legal parents and financially responsible for the child and your compensation. Their personal relationship status doesn’t change your protections.
How does Physician’s Surrogacy screen intended parents? +
Our in-house OB/GYNs screen intended parents for medical readiness before matching begins. IPs also undergo psychological evaluations and provide proof of financial stability, including fully funded escrow, before any surrogate is matched with them.

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Medical Disclaimer

The information in this article is for educational purposes only and does not constitute medical advice. Always consult your prescribing physician and your medical team regarding medication management and pregnancy safety.

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.

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Physician’s Surrogacy is the nation’s only physician-managed surrogacy agency. Join our community to get updates on surrogacy, expert insights, free resources and more.

By submitting this form, you agree to our Privacy Policy and Terms of Use and consent to receive occasional messages from Physician’s Surrogacy.