Choosing the right surrogacy agency isn’t just a decision—it’s the beginning of one of the most important journeys of your life. Whether you’re a hopeful parent or someone just starting to explore surrogacy in the United States, the process can feel overwhelming. There are hundreds of agencies out there, each promising the best experience. But how do you know which one is right for you?
Here are 10 honest, practical tips to help you choose the best surrogacy agency—and avoid the ones that aren’t worth your time or money.
Start by defining what matters most to you. Maybe you care about working with a local surrogate, or your focus is cost, legal support, or how involved you’ll be during the pregnancy. Write it all down—it becomes your personal checklist when comparing agencies.
Online communities are gold. Join Facebook groups, Reddit threads, or private forums focused on surrogacy in the U.S. You’ll get raw, unfiltered feedback from people who’ve been in your shoes.
Look for transparency. Good agencies explain their pricing, timelines, legal help, and screening process clearly. If you see vague answers or constant “call us” prompts—proceed with caution.
Use a spreadsheet or notes app. Track agencies that match at least 70% of what matters to you. Include:
– Location
– Estimated cost
– Surrogate screening process
– Legal support
– Availability/waitlists
Don’t be afraid to call or Zoom. Pay attention to how they speak with you. Are they patient? Do they pressure you? A good agency will answer every question without hesitation—they’ve done this hundreds of times.
Ask for references—and actually call them. Talk to people who’ve already completed a surrogacy journey with the agency.
Ask:
– Was the agency supportive during challenges?
– Were there unexpected costs?
– Would they use the agency again?
1. What are the agency’s experience and success rates? How long have they been around? How many matches have they completed? What's their actual success rate?
2. How does the agency screen its surrogates? They should be doing medical, psychological, background, and lifestyle evaluations. Do they allow first-timers?
3. What are the actual costs? Get a full breakdown. You need numbers for:
– Agency fees
– Surrogate compensation
– Medical and legal costs
– Insurance
– Other incidentals
Watch for the word “estimate.” Push for a realistic range (min and max).
For legal and financial guidance, check:
usa.gov
hhs.gov
medicaid.gov
Compare your top 3–5 agencies side-by-side. Use your head and your gut. Pay attention to:
– Waitlist times
– Flexibility
– Cost range
– Responsiveness
– Legal support
– Surrogate availability
Cross off red flags and weak matches. You should now have 2–3 agencies left—those who passed your checklist and made you feel heard and informed.
Book consultations. Most offer the first one for free. In that meeting, ask yourself:
– Did they listen?
– Did I feel respected?
– Were they educating me—or selling?
A good match should feel like a partnership, not a transaction.
Want to double-check legal compliance? Use:
cdc.gov
congress.gov
Now, you choose. No agency is perfect—but the right one will feel trustworthy, honest, patient, and ready to walk this path with you.
If you’re still unsure, revisit the vision you wrote at the start. Which agency helped bring it to life the most?
Go with the one that makes you feel confident and safe.
Finding the right surrogacy agency takes effort—but it’s worth it. This is one of the most important journeys you’ll ever take.
The agency you choose will shape how this story unfolds.
Use these 10 tips to stay informed, empowered, and aligned with your goals. Ask questions. Get personal. Trust your instincts.
The right agency is out there—and they’re ready to walk this journey with you.