When babies are born prematurely, are adopted, or their parent cannot produce milk due to medical complications, donor breast milk can make a life-changing difference. Surrogate milk donation is a compassionate, medically-backed act that helps ensure vulnerable infants receive the nutrients and immunity support that only human milk can offer.
Breast milk donations, particularly through surrogate programs, offer a vital lifeline to babies without access to their biological parent’s milk. Whether you're a surrogate mother with extra supply or simply a lactating parent who wants to help others, your milk can save lives.
Let’s break down how the process works, who can donate, what you can expect, and how this incredible act of giving is supported in the U.S.
Yes, you absolutely can — but there’s a safe, regulated process involved. In the U.S., milk donation is overseen by nonprofit milk banks (often under the Human Milk Banking Association of North America - HMBANA) and governed by medical and ethical guidelines to protect both donor and recipient.
Milk donation is not the same as informal sharing. Informal sharing happens peer-to-peer, but regulated donation involves medical screening and testing to ensure safety. This is especially critical for NICU babies or medically fragile infants who can’t handle any contamination or risks.
If you’re healthy, not using certain medications or substances, and producing more milk than your baby needs, you’re probably a good candidate. Surrogates often fit these criteria and can be incredible donors.
The first step is simple: a phone call. Milk banks or milk donation programs typically start the screening with a short telephone interview.
During this chat, a staff member will ask basic health questions like:
This step helps rule out immediate disqualifiers and determines if you're eligible to proceed to the next phase. It’s friendly, low-pressure, and takes less than 15 minutes.
If you pass the phone screening, you’ll move on to the paperwork stage.
You’ll fill out detailed forms that cover:
Some forms will require a healthcare provider’s signature — either from your OB/GYN, pediatrician, or primary care provider — confirming your health status.
Once your paperwork is approved, the milk bank will usually send you for a quick blood test — at no cost to you.
This test screens for:
The blood draw is done at a local lab or clinic, and the results go directly to the milk bank. If all clear, you’re officially approved as a milk donor.
Generally, no — milk donation through nonprofit banks is a voluntary act. You don’t get paid for the milk itself, and that’s intentional.
Why? Because the focus is on safety and altruism. Offering compensation might attract donors who don’t disclose important medical or lifestyle info, which can be dangerous for recipient babies.
However, some banks do reimburse for shipping supplies or offer tax deductions for expenses like breast pump parts or freezer storage.
You can donate milk across the U.S., usually by shipping frozen milk to regional milk banks.
Donated milk is pasteurized, tested again, and tracked. It’s often prioritized for premature or medically fragile babies.
For many babies, especially those in neonatal intensive care, donor milk isn’t just nutrition — it’s medicine.
It reduces risks of necrotizing enterocolitis (a serious intestinal disease), infections, and other complications. It supports growth, immunity, and even brain development.
Even one ounce can make a difference — and some donors contribute gallons over time.
Surrogate milk donation is one of the most selfless and impactful ways to help infants thrive — especially those without access to their own parent’s milk.
With a simple process, strict safety screening, and national infrastructure to support donation and distribution, more families can benefit from this unique gift.
Whether you're a surrogate mother, overproducing parent, or just want to help, your milk can literally save lives.
Ready to take the first step? Contact a milk bank in your region or learn more from official resources like:
NICHD - Breastfeeding Resources
You have the power to make a difference — one bottle at a time.