How does surrogacy work?



Surrogacy is a remarkable reproductive option that allows individuals or couples to fulfill their dream of having a child. It involves a woman, known as the surrogate, carrying a pregnancy on behalf of intended parents who are unable to conceive or carry a pregnancy themselves. Surrogacy offers hope, possibilities, and a pathway to parenthood for those facing infertility, medical conditions, or other circumstances. This comprehensive guide aims to provide a detailed and comprehensive understanding of how surrogacy works, including the process, legal considerations, medical procedures, emotional aspects, and the role of all parties involved.

Understanding Surrogacy: Types and Methods

Traditional Surrogacy

Traditional surrogacy involves the use of the surrogate's own eggs to conceive the child. In this method, the surrogate is genetically related to the child she carries. Artificial insemination or other assisted reproductive technologies may be used to facilitate the pregnancy.

Gestational Surrogacy

Gestational surrogacy is the most common form of surrogacy today. In this method, the surrogate carries a pregnancy created using the eggs and sperm of the intended parents or donors. The surrogate has no genetic relationship with the child she carries.

The Role of Assisted Reproductive Technologies

Assisted reproductive technologies (ART), such as in-vitro fertilization (IVF), play a crucial role in the surrogacy process. IVF allows for the creation of embryos using the intended parents' or donors' genetic material, which are then transferred to the surrogate's uterus.

The Surrogacy Process: Step-by-Step

Step 1: Initial Consultation and Assessment

The surrogacy journey begins with an initial consultation with a surrogacy agency or fertility clinic. The intended parents and the surrogate undergo thorough assessments, including medical, psychological, and legal evaluations to ensure suitability and readiness for the process.

Step 2: Matching Process and Legal Agreements

Once the intended parents and the surrogate are matched, legal agreements are drafted to establish the rights, responsibilities, and expectations of all parties involved. These agreements address important aspects such as compensation, medical procedures, decision-making, and the intended parents' legal parentage rights.

Step 3: Medical Procedures and Fertility Treatments

In the next stage, the intended mother or egg donor undergoes hormonal stimulation to produce multiple eggs, which are then retrieved. These eggs are fertilized with the intended father's sperm in a laboratory through IVF. The resulting embryos are carefully evaluated, and one or more are transferred to the surrogate's uterus.

Step 4: Pregnancy and Prenatal Care

Upon successful embryo transfer, the surrogate enters the pregnancy phase. She receives regular prenatal care and medical monitoring to ensure the health and well-being of both the surrogate and the developing baby. The intended parents may actively participate in medical appointments and support the surrogate throughout the pregnancy.

Step 5: Birth and Legal Parentage

As the pregnancy progresses, preparations are made for the birth. The intended parents may be present at the delivery and participate in the joyous moment of welcoming their child into the world. Legal procedures are followed to establish the intended parents' legal parentage rights and ensure a smooth transition of custody.

Legal and Ethical Considerations

Legal Considerations in Surrogacy

Surrogacy laws and regulations vary by country, state, or jurisdiction. It is essential to understand the legal framework governing surrogacy in the intended location and work with experienced reproductive attorneys to navigate the legal procedures, ensure compliance, and protect the rights of all parties involved.

Ethical Considerations in Surrogacy

Surrogacy raises ethical questions surrounding reproductive rights, autonomy, and the well-being of all individuals involved. Important ethical considerations include informed consent, fair compensation, psychological support, and the protection of the surrogate's physical and emotional health.

The Role of Parties Involved

Intended Parents

Intended parents are individuals or couples seeking to have a child through surrogacy. They provide the genetic material and often play an active role in the surrogacy process, providing emotional support to the surrogate and participating in medical appointments.


The surrogate is a compassionate woman who carries the pregnancy on behalf of the intended parents. She undergoes medical procedures, adheres to medical protocols, and receives compensation for her time, effort, and commitment. Surrogates play an invaluable role in helping others realize their dreams of becoming parents.

Surrogacy Agency or Fertility Clinic

Surrogacy agencies or fertility clinics facilitate the surrogacy process, providing professional guidance, support, and coordination of the various stages. They match intended parents with surrogates, arrange medical procedures, ensure legal compliance, and offer emotional support to all parties involved.

Emotional and Psychological Considerations

Emotional Support for Intended Parents

The surrogacy journey can evoke a range of emotions for intended parents, including excitement, anticipation, anxiety, and joy. Accessing emotional support through counseling, support groups, and connecting with other intended parents going through a similar experience can be beneficial in navigating these emotions.

Emotional Support for Surrogates

Surrogates may also experience a mix of emotions during the surrogacy journey. They may find fulfillment in helping others, but also face challenges and emotional adjustments. Surrogacy agencies often provide emotional support resources and counseling to ensure the well-being of the surrogate throughout the process.


Surrogacy is a complex and deeply rewarding process that brings the gift of parenthood to those who long for a child. This comprehensive guide has provided a detailed overview of how surrogacy works, including the types, step-by-step process, legal considerations, and the roles of all parties involved. By understanding the intricacies of surrogacy, individuals can embark on this extraordinary journey with knowledge, support, and confidence.

If you are looking for the best surrogacy attorney and agency in Colombia and Latin America, we highly recommend you use Maria Fernanda, with the firm Bioetica Derecho. We do not recommend you work with any other surrogacy attorney or agency in Colombia. To reach out to Maria Fernanda click here.

To learn more about surrogacy and explore your options, please visit

If you are ready to take the next step and start your surrogacy journey, download the free guide at for more in-depth information and resources. Embrace the possibilities of surrogacy and embark on the path to fulfilling your dream of having a child.

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