The Surrogacy Process in the USA: Step by Step

Surrogacy is a complex but incredibly important process that allows many families to achieve their dream of having a child. The United States is one of the countries where surrogacy is legally regulated, making the process as transparent and safe as possible for all participants. Let’s examine the surrogacy journey in the U.S. step by step.

The first step is finding a suitable surrogacy agency. These specialized organizations assist intended parents and surrogate mothers with legal, medical, and organizational matters.

During the initial consultation, the following are discussed:

• Legal aspects of surrogacy.
• Expectations and wishes of both parties.
• Medical requirements and risks.

The agency helps intended parents understand the available programs and options, answering all questions. It’s essential to note that the choice of agency can significantly impact the duration and cost of the entire process.

Surrogacy laws in the U.S. vary by state. The agency or an attorney drafts a personalized contract to protect the interests of all parties involved.

Key provisions of the contract include:

• Financial obligations.
• Medical procedures and risks.
• Rights and responsibilities of the surrogate mother.
• Rights of the intended parents.

The contract is signed after thorough discussions with both parties and their legal representatives. This document forms the foundation for the rights and obligations throughout the process.

After signing the contract, the process of selecting a surrogate mother begins. The agency screens candidates based on the following criteria:

• Physical and mental health.
• Having their own children (a common requirement).
• Compliance with legal and medical requirements.

Intended parents can review candidate profiles, hold personal meetings, or arrange video calls. This step is crucial, as the comfort and trust between parties during the pregnancy depend on this decision.

Once a surrogate mother is selected, both parties undergo comprehensive medical evaluations. The main steps include:

• Testing for infections and overall health.
• Examination of the surrogate mother’s reproductive system.
• Psychological assessments for both parties.

If the results are favorable, preparation for IVF (in vitro fertilization) begins. This involves hormonal therapy to synchronize the cycles of the surrogate mother and the egg donor or intended mother.

The next step is making the embryo. This is done using:

• Eggs of the intended mother or a donor.
• Sperm of the intended father or a donor.

Once the embryo is developed it is passed into the surrogate mother’s womb. It is done in a specialized clinic with the most modern medical technologies. Clinics also assess the quality of embryos before putting them in, raising the odds of a pregnancy being successful.

After a successful embryo transfer, the pregnancy stage begins. During this period, the surrogate mother regularly visits the doctor to monitor the fetus's development and her health.

Intended parents often actively participate in this stage, attending ultrasounds and maintaining contact with the surrogate mother. All medical expenses are covered by the intended parents. Additionally, payments to the surrogate mother for her services and compensation for potential inconveniences are usually arranged.

Pregnancy may involve psychological support for both parties, as the process requires emotional stability and mutual understanding.

After the child is born in the U.S., the legal rights are transferred to the intended parents. The process also varies by state law. In some states, the intended parents are listed on the birth certificate right away, while others require a court order.

The birth usually occurs at a pre-authorized hospital where the intended parents are often present at the birth. Their bond creates first emotional contact with the child from the initial moments of life.

After the baby is born, the surrogate mother undergoes medical examinations to ensure her full recovery. The intended parents take their baby home, concluding the process.

The agency may offer psychological support to both parties if needed. Maintaining a good relationship between the parties can be an essential factor for a successful conclusion and avoiding potential conflicts.

The surrogacy process in the U.S. involves significant financial costs. Main expenses include:

• Agency fees.
• Medical examinations and procedures.
• Surrogate mother’s compensation.
• Legal services.
• Additional expenses such as insurance and other compensations.

Intended parents should be prepared for costs ranging from $80,000 to $150,000, depending on the specific program.

The surrogacy process in the U.S. is a carefully regulated system that ensures safety, transparency, and mutual respect. Thanks to the professional approach of agencies and medical practitioners, thousands of families achieve the joy of parenthood every year. However, it is crucial for intended parents to prepare for this complex but noble journey, understanding all its stages and responsibilities.