Bringing a child into the world through surrogacy is one of the most meaningful journeys an intended parent can take. At SurrogateFirst, we’ve supported hundreds of families through this process—and we know how important it is to understand each step before you begin. Whether you’re just starting to research or are ready to move forward, this guide breaks down the surrogacy process from match to miracle in a clear, step-by-step format.
Starting the Surrogacy Process
1. Learn About Surrogacy
Surrogacy can seem overwhelming at first, so the best place to begin is by learning the basics. There are two main types—gestational surrogacy (most common in the U.S.) and traditional surrogacy. In gestational surrogacy, the surrogate carries a baby who is not genetically related to her. Understanding the difference, as well as the legal, emotional, and financial aspects, is key to making an informed decision.
2. Initial Consultation
Once you’re ready to take the next step, a consultation with a surrogacy agency or fertility clinic can provide clarity. You’ll get to ask questions about the process, costs, expected timelines, and what kind of support you’ll receive. At SurrogateFirst, this meeting is also about getting to know you—so we can help match you with the right surrogate.
3. Find a Gestational Carrier
The matching process is one of the most exciting parts of your journey. Agencies like SurrogateFirst carefully screen all potential surrogates and look for alignment on values, expectations, and communication styles. Intended parents are presented with profiles of qualified surrogates, and once a match feels right, a meeting is arranged to ensure everyone is on the same page.
4. Medical Screening
Before anything can move forward, your surrogate will undergo medical evaluations to ensure she’s physically ready for pregnancy. This includes a full medical history review, physical exams, bloodwork, and evaluations at the IVF clinic. These screenings help confirm she’s a healthy fit for the journey ahead.
5. Legal Agreements
Surrogacy involves complex legal details, so both parties—intended parents and surrogates—must have their own legal representation. The surrogacy contract will cover everything from financial compensation to parental rights and delivery plans. At SurrogateFirst, we work with top legal experts to ensure a smooth and ethical agreement for all involved.
6. Escrow & Financial Planning
Once contracts are signed, a secure escrow account is set up to manage payments for surrogate compensation and other related costs. This ensures peace of mind for everyone and transparent handling of all financial obligations. Learn more about financial planning and financial help here.
7. Insurance Coordination
It’s important to have the right insurance coverage in place for your surrogate’s care and delivery. Your agency will help evaluate existing coverage and guide you through obtaining a surrogacy-friendly policy if needed.
8. IVF & Embryo Transfer
With all plans in place, the medical phase begins. The surrogate will start a protocol of medications to prepare her uterus for embryo transfer. Once the embryo is transferred, the two-week wait begins. A positive beta (pregnancy) test and subsequent heartbeat confirmation signal a successful start to the pregnancy.
9. Pregnancy & Prenatal Care
Throughout the pregnancy, the surrogate receives regular prenatal care. Intended parents are encouraged to be involved—attending ultrasounds, joining appointments (virtually or in person), and building a connection with the surrogate if all parties are comfortable.
10. Delivery Day
Finally, the long-awaited moment arrives: the birth of your baby. The delivery plan is reviewed in advance to ensure everyone knows what to expect. This moment is powerful, emotional, and life-changing—and marks the beginning of a new chapter for your growing family.
After Surrogacy: What Comes Next?
The surrogacy journey doesn’t end in the delivery room. Post-birth, legal paperwork finalizes parental rights, and many families stay in touch with their surrogates. At SurrogateFirst, we celebrate these lasting connections and offer continued support for both parents and surrogates long after the baby is born.
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How SurrogateFirst Supports You Every Step of the Way
At SurrogateFirst, we believe in a compassionate, transparent, and personalized approach to surrogacy. From the moment you reach out to us until you’re holding your baby, our team is by your side—providing education, emotional support, expert coordination, and advocacy for both intended parents and surrogates.
Take the first step with confidence. If you’re ready to begin your journey or just want to learn more, our team at SurrogateFirst is here to guide you—from match to miracle. Contact us today for a free consultation.
FAQs About the Surrogacy Process
How long does the surrogacy process take?
On average, from consultation to delivery, the process can take 12–24 months. This depends on how quickly you match, legal timelines, and embryo transfer success.
What is the legal process for surrogacy?
Each party is represented by their own attorney. Contracts cover parental rights, compensation, medical expectations, and post-birth arrangements. Legal finalization often occurs before or right after birth depending on your state.
Does the surrogate share DNA with the baby?
In gestational surrogacy, no. The surrogate is not biologically related to the child, as the embryo is created from the intended parents’ (or donors’) egg and sperm.
Can the surrogate change her mind?
Legal contracts are designed to protect all parties, and clear agreements prevent such issues. With proper support and ethical agency practices, this risk is extremely low.
Do surrogates get paid if they miscarry?
Surrogates are typically compensated for their time, effort, and milestones achieved. If a pregnancy ends early, payments reflect completed stages as outlined in the contract.
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