What is surrogacy?

  • 4.7 (5 Votes)

Surrogacy is a fertility treatment in which a surrogate mother carries a baby for full nine months pregnancy term and delivers the baby for another couple under a legal contract signed between the surrogate mother and the intended parents.

Let’s Discuss in More Detail About Surrogacy:-

When there is a problem in conceiving and no other fertility treatments such as IVF, IUI, Egg donor IVF, Laparoscopy, MESA, TESA makes it possible to get pregnant, surrogacy is the only option available to experience parenthood. Now you must be wondering what is surrogacy and what is the process of surrogacy?

Here is the answer to your entire question. “Surrogacy is a way to pregnancy, where legal agreement is signed between the surrogate mother and the intended parents. Under this agreement, the surrogate mother agrees to carry the child for a childless couple.” The option is best reserved for the parents who are unable to have children through their own pregnancy. In the process of surrogacy, another woman womb is hired legally. The carrier of the child or children whose womb is hired is known as a surrogate mother.

Surrogacy might also involve a monetary agreement between the biological parent and the surrogate mother. In a country like India, gestational surrogacy is allowed but with a legal procedure. In other countries like Japan, China or the other, surrogacy is considered to be completely illegal.

In countries, where surrogacy is allowed or is legal, intended parents can seek surrogacy and get pregnancy arranged through the source known as surrogate mother. But the entire surrogacy treatment is practiced under the supervision of medical practitioners.

Reasons to choose surrogacy

Pregnancy risks, unavailability of medical treatment for the infertility cases are the main reasons for couples to opt surrogacy. Infertility can either be with the female or the male or there are also the chances with the couple being infertile together and therefore the female partner is not getting pregnant.

Single parent surrogacy is also prevalent in India. Same-sex couples also require surrogacy to complete their family.

Reasons to opt surrogacy may vary from an individual to individual. You should get the treatment done under the guidance of an expert gynecologist to experience fruitful results.

What does surrogacy involve?

Surrogacy involves the usage of one woman’s uterus to carry and deliver the baby on the behalf of a couple who are facing medical challenges to have their own baby.


The above-mentioned process involves IVF process in order to place the fertilized egg into the surrogate mother’s uterus.

Types of surrogacy

There are commonly two types of surrogacy, which are prevalent, worldwide. Out of these two types,gestational surrogacy is practiced in India.

Gestational Surrogacy

In this type of surrogacy, the embryo formed externally is placed into the surrogate mother’s uterus. In gestational surrogacy, the child will not biologically be related to the surrogate directly. It involves the creation of an embryo using biological father’s sperm and biological mothers’ egg. The process involved to do so is known as IVF. Here, in this process, the surrogate eggs are not used to create an embryo. If the intended mother does not produce eggs then egg donor can also be required.

In various countries including India gestational process is more active and is considered completely legal.

Traditional surrogacy

IUI or Intrauterine Insemination is the process used for traditional surrogacy where the surrogate mother is impregnated. The surrogate for the traditional surrogacy type acts as the egg donor as well as an actual surrogate for the embryo. IUI process is used where transfer to the uterus is done by the treating surrogate doctor. The doctor will transfer sperm taken from biological father into the surrogate mother uterus where the natural fertilization takes place.

traditional surrogacy

Here, in this type of surrogacy, the surrogate mother is also the biological parent of the child. For a couple whose sperm or egg cannot be used, in such cases the doctors suggest traditional surrogacy. At many places including India, traditional surrogacy is considered to be illegal and is banned.

Surrogacy Process

Below is the listed surrogacy process required to be aware of while undergoing gestational surrogacy.

1- Diagnostic Tests: Before beginning with the surrogacy procedure, certain diagnostic tests are done related to the gynecological, physical as well as the psychological status of the intended couples.

2- Surrogacy Centre or Agency: Choosing a surrogacy agency is crucial. It plays an important role in creating proper co-ordination between the intended parents and the surrogate mother.

3- Finding a surrogate mother: Intended parents need to search for the surrogate mother who will bear their child for the next nine months. Nowadays, a surrogacy center or agency helps couples to find a surrogate mother. Once the desired surrogate mother is found some medical tests including infectious disease examination, Pap smear and trial transfer are performed.

4- Legal documentation: The finances and the social communication between the intended parents and the surrogate mother are clarified and signed by both the parties. The legal documents are kept intact and utilized if any dispute arises.

Legal documentation

5- IVF process: The egg from the intended mother or donor is retrieved around 14th or 15th day of the cycle. Afterward, eggs and sperms are fertilized in the laboratory. Then after few days, the embryo is implanted in the womb of the surrogate mother, where it grows into a baby for the next nine months.

6- Time to time checkup: The concerned gynecologist creates a routine of regular checkups and ultrasound of the surrogate mother. This helps in monitoring the growth of the fetus and lifestyle of the surrogate mother during the pregnancy tenure.

7- Delivery: Finally, the day of delivery arrives. The baby is born and given to the intended parents.

Factors revolving around Surrogacy

There are various factors that need to be considered during surrogacy.

  • The surrogate mother should be healthy to carry the child till birth if the matched surrogate mother is not healthy, then you should look out for another surrogate.
  • Overall health should be determined, whether the surrogate mother has any disease or not.
  • The rules of legal formalities should be made transparent before starting with the surrogacy. This ensures that disputes are minimized between surrogate mother and intended parents.

Legal and Illegal surrogacy

Gestational surrogacy is completely legal in India. Surrogacy treatment is divisive around the world and is illegal, raising difficult moral, social and legal issues. As a result, the legal situation varies considerably. Many countries do not have laws which specifically deal with surrogacy. Some countries ban surrogacy outright, while others ban commercial surrogacy but allow altruistic surrogacy (in which the surrogate is not financially compensated). Some countries allow commercial surrogacy, with few restrictions. Some jurisdictions extend a ban on surrogacy to international surrogacy.

illegal surrogacy

For the countries accepting surrogacy as the legal process, the couples get the help of doctors and surrogacy clinics to look over the complete surrogacy process; from the initiation of the process till the birth of child. The process also includes the legal documentation and agreement between the couple and the surrogate mother.

Why opt for Surrogacy?

Intended parents might need to arrange a surrogate pregnancy because of female infertility or other medical issues, which make pregnancy or delivery impossible, risky or otherwise undesirable. Same-sex couples and single parents can also opt for surrogacy. The surrogacy planning parents may provide both the sperm and/or the eggs — but donor sperm, eggs, and embryos are also often used. The legality and costs of the surrogacy vary widely around the world. The cost of surrogacy in India ranges from Rs. 14,61,200 to Rs. 16,38,500.

In most of the countries, the procedure is prohibited or heavily restricted. In some countries, like the United Kingdom and Canada, ‘commercial surrogacy’ where the surrogate mother is paid is illegal while ‘altruistic surrogacy’ where the surrogate mother volunteers the service and is only reimbursed for expenses is acceptable. In the United States, India and Thailand the process is legal and are extensively practiced.

Even where surrogacy is legal, the legal landscape varies greatly. In all cases, a contract needs to be drawn up which should specify that the child becomes the legitimate adopted child of the intended couple. The couple, the surrogate and her husband will all sign this document. Making the decision to have a child is very important. But if someone does not have any child because of any infertility reasons, the need for having own baby becomes their life’s desire.

You can get to know more about surrogacy and various other fertility treatments from the ElaWoman Fertility Treatment Blog. Also, find the diet to have before starting IVF to improve your success chances.

Dr. Sandhya

About The Author

Obstetrician, Gynecologist Dr. Sandhya

Dr. Sandhya is a Gynecologist and Obstetrician in Pune. She has been working in the field of Gynecology and Obstetrics for more than two decades. Dr. Sandhya is currently endeavoring her practice at Chintamani Hospital, Pune. Dr. Sandhya has expertise Normal and Cesarean Delivery, Pre and Post Delivery Care, Early Pregnancy Care, general consultations and other Gynecology problems treatment. She has done her MBBS and DGO from recognized universities. Patients from all around Saswad come to Dr. Sandhya with lots of hopes and the doctor ensures that the patients are satisfied with the treatments and procedures. Chintamani Hospital is one of the renowned hospitals in Pune for Gynecology and Obstetrics care. It has a team of well-trained medical staff, non-medical staff and experienced clinical technicians who work round-the-clock to provide healthcare services to the patients. It has an efficient team of doctors on board, including specialists and is equipped with the knowledge and expertise for handling basic to complicated medical cases. You can now book an appointment with Dr. Sandhya at



Nandish Acharya

Choosing a good surrogate that matches your criteria is the assurance of a successful treatment. You should meet the surrogate personally and talk to her before saying yes for the treatment.

Nov. 2, 2018, 5:05 a.m. 4.5


Rashmita Phule

I would say that surrogacy is a sure success treatment, as it proved to be in my case. Although the treatment is expensive it is also the last option if you have past failures in other treatments.

Oct. 8, 2018, 6:29 p.m. 4.5


Naveen Kaushik

There are many laws and legal work associated with surrogacy. Everyone should be clear of that, as it is done so that the surrogate can not claim any right over the child later.

Sept. 24, 2018, 2:56 p.m. 5.0


Karishma Dhankhad

Totally a new concept for someone like me. I had heard about surrogacy but this blog cleared all my concepts.

June 5, 2018, 10:45 a.m. 5.0


Nisar Hasan

Surrogacy procedure helped me become a mother after a lot of struggles.

May 9, 2018, 6:05 p.m. 4.5

View all comments

Leave a Comment



The information displayed on this webpage covers general information on several medical conditions, fertility treatments, IVF ICSI, surrogacy procedure, home remedies, and their respective treatments. The exclusive purpose of the displayed information is for the sake of general understanding and it has been collected from open sources which heavily rely on research and laboratory tests. However, the information shared here should not be considered as a medical advice or an alternative to consultation with a registered medical practitioner or licensed healthcare professional.

It is not advised to self-diagnose or treat any medical condition or disease following the information given in this article. We insist you to consult a registered practitioner and never try to replace their advice or discontinue treatment in between by relying solely on the information obtained. External links to different websites as well as videos given on the website serve the purpose of sharing knowledge only. Ela being an Independent Medical Information platform is neither responsible nor guarantees the authenticity, reliability, and accuracy of these videos and websites in any way. We do not intend the information displayed here to be used for a medical emergency, if you seek medical attention for yourself (or any other person with whom you want to share the information with), we advise you to directly get in touch with the hospital or the doctor.

Related Article view all

5 Best Surrogacy Centres in Mumbai - Best Surrogacy Doctors in Mumbai

The best surrogacy centres in Mumbai are the ones which have high success rates with surrogacy treatments. Some of the best surrogacy centres in Mumbai with excellent medical experts and staff are Saraogi Hospital and IRIS Centre, Madhu Imagine and Fertility Centre, Veda Fertility and Urology Care.

Read More

Best surrogacy centres in Gurgaon - Success rates, Other Services

Best surrogacy centres in Gurgaon offer excellent services to patients in terms of surrogacy costs, success rates, and efficient medical team and staff. The best surrogacy centres in Gurgaon include Artemis Health Institute, Mayom Hospital, and Max Hospital as per the patient reviews and past treatment records.

Read More

Top 5 Surrogacy Centres in Noida with High Success rates - Surrogacy Cost in Noida

Best surrogacy centres in Noida offer quality services to patients visiting the centre. Each of the surrogacy centres comprise of well trained medical specialists and staff which yield excellent results for patients. The surrogacy cost in India varies with the success of the hospital and treatments offered there.

Read More

More From Author

Fertility Tracking
How to Track Ovulation with Ovulation Calculator or Fertility Calculator

How to Track Ovulation with Ovulation Calculator or Fertility Calculator

posted on 08 May 2018 4.7/ 5

Ovulation Calculator or Fertility Calculator is useful for tracking ovulation in women. Ovulation Calculator helps women in keeping their ovulation days in their recor...

Read More

Fertility Tracking
Know all 4 aspects about Ovulation Period Calculator and Tracker

Know all 4 aspects about Ovulation Period Calculator and Tracker

posted on 08 May 2018 4.7/ 5

Ovulation Period Calculator serves different purposes at a certain point of time. It works as a fertility tracker, period tracker, and helps in menstrual cycle calcula...

Read More

4 Weeks Pregnancy - Symptoms, 4 Week Pregnancy Ultrasound, Pregnancy tips

4 Weeks Pregnancy - Symptoms, 4 Week Pregnancy Ultrasound, Pregnancy tips

posted on 08 May 2018 4.7/ 5

The 4th week pregnancy is a crucial part of the life of a pregnant woman. 4 week pregnancy include morning sickness, bloating, mood swings, fatigue, and swollen breast...

Read More

Trending Articles


5 Best Surrogacy Doctors in India

posted on 08 May 2018 4.5 / 5(1 Votes)

Find the list of best surrogacy doctors in India who offers the best treatment with the highest success rate. The list has been categorized on the basis of doctors fame, experience, reviews, ratings, and cost. Dr. Mohit Saraogi from Saraogi Hospitals and IRIS IVF Centre and Dr. Kaberi Banerjee from Advanced Fertility Centre top the list of the best surrogacy doctors in India.

Read More


Best IVF Doctors in India with Highest Success Rates

posted on 08 May 2018 4.7 / 5(3 Votes)

Find here the list of best IVF doctors in India on the basis of Ratings, Success Rate, Services offered, IVF cost packages and available Facilities. Dr. Nisha Bhatnagar, Dr. Kaberi Banerjee and Dr. Anjali A Deval top the list of such IVF doctors in India due to their unique pricing system, popularity and high success rate.

Read More


Top Surrogacy Centres in India with Highest Success Rates

posted on 08 May 2018 4.8 / 5(2 Votes)

In this article we bring you the best Surrogacy Centres and clinics in India with Review Ratings, Cost Estimates, and Surrogacy Success Rate to help you make the best choice. Aveya IVF and Surrogacy Centre and Advanced Fertility and Surrogacy Centre tops the list of such surrogacy centres in India due to their low treatment costs, popularity and high success rates.

Read More