Choosing the right surrogacy agency is one of the most important decisions you’ll make on your journey to parenthood. The best agencies offer ethical standards, transparent pricing, medical and legal coordination, surrogate screening, and personalized support from start to finish. This page explains the key criteria, questions to ask, and red flags to avoid — helping you confidently select an agency that matches your goals and needs.
Top Criteria
 Reputation, legal support, medical oversight, surrogate screening & matching, transparent costs.
Best For
 Intended parents using surrogacy alone or with egg donation.
Typical Cost Range
 Transparent fee structures with full breakdowns of agency, surrogate, medical & legal costs.
Support Services
 Matching, surrogate screening, legal support, counseling, and case management.
Choosing a surrogacy agency is not just about coordination — it is about protecting your medical outcome, legal rights, financial investment, and emotional well-being. A qualified agency acts as your central guide and advocate throughout the entire journey.
The right agency helps you:
Reputation & Track Record
Legal Expertise & Compliance
Screening & Matching Process
Services Offered
Communication & Transparency
Before you commit, ask the agency:
Lack of transparent pricing or vague cost breakdowns
Choosing a surrogacy agency is not just about coordination — it is about protecting your medical outcome, legal rights, financial investment, and emotional well-being. A qualified agency acts as your central guide and advocate throughout the entire journey.
The right agency helps you:
A poorly chosen agency can lead to delays, hidden costs, legal risks, or failed cycles — making this decision one of the most critical steps in your journey.
A professional surrogacy agency follows a structured, ethical, and medically coordinated process:
Surrogacy costs vary based on location, medical needs, and program structure. A reputable agency provides full transparency upfront.
Typical cost categories include:
Always request a written, itemized cost breakdown before signing any agreement.
A full-service surrogacy agency typically includes:
 Pregnancy monitoring coordination
Case management and regular updates
Emotional and logistical support
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Clarify what is included versus optional services to avoid misunderstandings.
Surrogacy involves medical, legal, and financial risk if not managed correctly.
Legal Considerations
Potential Risks
Experienced agencies reduce risk through legal oversight, medical coordination, and contingency planning.
Most surrogacy journeys take 12–18 months, depending on medical and legal factors.
Typical Timeline
Timelines may vary depending on surrogate availability and clinic schedules.
A full-service surrogacy agency typically includes:
Months 3–4
Matching and legal contracts
Months 5–6
IVF preparation and embryo transfer
Months 7–15
Pregnancy monitoring and updates
Months 16–18
Birth, legal parentage, and transition home
Clarify what is included versus optional services to avoid misunderstandings.
A surrogacy agency coordinates every non-medical aspect of the surrogacy journey. This includes surrogate screening and matching, legal coordination, communication between all parties, cost management, emotional support, and pregnancy oversight. The agency acts as the central organizer to ensure the process runs safely, ethically, and legally.
Reputable surrogacy agencies conduct extensive medical, psychological, and lifestyle screening. This includes health history review, fertility records, psychological evaluation, background checks, and confirmation of legal eligibility. Proper screening reduces medical risks and improves success outcomes.
Surrogate matching typically takes 0 to 3 months, depending on availability, medical compatibility, and specific preferences. Agencies with active surrogate pools usually match faster while still maintaining ethical screening standards.
Yes, ethical surrogacy agencies provide an itemized cost breakdown before contracts are signed. This includes agency fees, surrogate compensation, medical costs, legal fees, insurance, and contingency expenses. Transparency helps avoid unexpected financial stress later.
Most full-service agencies coordinate with experienced reproductive attorneys. Legal support typically includes drafting surrogacy agreements, consent forms, and parentage documentation to protect the rights of intended parents, surrogates, and donors.
Yes, many agencies support international intended parents. Services may include guidance on country-specific legal requirements, documentation, travel planning, and citizenship procedures, depending on the surrogacy location.
No ethical agency guarantees pregnancy or live birth. Surrogacy involves biological and medical variables. Agencies instead focus on reducing risk through proper screening, experienced medical coordination, and realistic expectations.
If an embryo transfer fails, agencies coordinate next steps with the IVF clinic. Options may include additional embryo transfers or revised medical protocols. Costs and policies depend on the program agreement, which should be reviewed in advance.
Yes. Intended parents typically review surrogate profiles and participate in the selection process. Matching is based on medical compatibility, preferences, and mutual consent to ensure comfort and trust on both sides.
Most agencies provide regular updates at every major milestone, including matching, legal completion, embryo transfer, pregnancy progress, and delivery planning. Clear communication schedules should be discussed before enrollment.
Many surrogacy agencies offer counseling resources or referrals for intended parents and surrogates. Emotional support helps manage stress, expectations, and the psychological aspects of the journey.
Surrogacy agencies work in coordination with established IVF clinics and fertility specialists. While agencies do not perform medical procedures, they ensure communication between all parties and the clinic.
Insurance requirements vary by location. Many programs require surrogate health insurance or supplemental coverage. Agencies guide intended parents through insurance options to ensure medical costs are properly covered.
Common documents include surrogacy agreements, consent forms, medical authorizations, and parentage documentation. International cases may require additional legal filings depending on jurisdiction.
Professional agencies use structured payment schedules and financial management systems to protect all parties. Payments are typically made in stages based on milestones outlined in the agreement.
While rare after legal contracts are signed, agencies have contingency plans. This may include matching with another surrogate and adjusting timelines. Policies should be clearly outlined before enrollment.
Yes. Many intended parents combine surrogacy with egg donation. Agencies coordinate both processes, including donor screening, matching, legal documentation, and medical scheduling.
Risks may include IVF failure, pregnancy complications, legal delays, or emotional stress. Experienced agencies mitigate these risks through screening, legal oversight, medical coordination, and contingency planning.
Agencies maintain confidentiality through secure data handling, legal agreements, and controlled information sharing. Privacy protections apply to intended parents, surrogates, and donors.
Ideally, you should contact a surrogacy agency before beginning IVF or selecting donors. Early guidance helps avoid costly mistakes and ensures legal and medical readiness from the start.
Egg donation is a process where a woman (the egg donor) provides one or several eggs (also known as oocytes) for purposes of assisted reproduction, with the eggs being fertilized in the laboratory. Once fertilized, the resulting embryos are transferred to the recipient’s uterus to initiate a pregnancy, or they can be cryopreserved (frozen) for future use.