3 Sisters Surrogacy is a for-profit, full-service surrogacy agency based in Houston, Texas, founded in 2012 by Mary M. Fusillo, RN, BSN, MS, who continues to lead the company as founder and CEO. It works with a small core team, including a chief operating officer and case managers, and matches intended parents with gestational carriers on a nationwide basis. According to its website, the agency also maintains offices in Dallas and Phoenix.
The agency operates as part of the Family Solutions International group and markets itself as "A Family Solutions International Company." Alongside 3 Sisters Surrogacy, that group includes the egg donor agency The Donor Solution and The Fertility Consultants, which allows the surrogacy program to be paired with egg donation for intended parents who need it.
As a full-service agency, 3 Sisters Surrogacy handles the matching process and ongoing case management that carries a journey from screening through delivery, and coordinates the legal and medical steps along the way. On its "Why Choose Us" page, the agency states that it facilitates but does not itself hold client surrogacy funds, meaning escrow is handled outside the agency. The agency says it serves LGBTQ+ and single intended parents as well as international clients.
Gestational carrier applicants are generally expected to live in a surrogacy-friendly U.S. state, to have had at least one prior pregnancy, and to be non-smokers; the agency's age, BMI and other eligibility criteria, along with available fee and compensation information, appear in the tables below.
AI summary of 5 reviews · can make mistakes
Most reviewers describe a positive experience with 3 Sisters Surrogacy, often mentioning caring staff, good matches and a well-guided process. Surrogates in particular say they felt supported and were paired with families they were happy with. A few reviewers were less satisfied with scheduling, responsiveness or how hands-on case management felt.
5 reviews match these filters.
The team at 3 Sisters helped me achieve my dream of becoming a surrogate and matched me with the BEST couple. I was happy to be a surrogate for all types of families, but I was overjoyed with who we ended up with. The agency helped provide everything to make the journey safe and dependable for both me and the dads. This includes lawyers, insurance coverage, travel expenses, and even an escrow for expenses. The baby has now arrived and this has been one of the most rewarding achievements of my life.
View on Google (opens in a new tab)My husband and I have had an overwhelmingly positive experience with 3 Sisters. We began our journey in late 2019 with egg donation and a fresh IVF cycle, and Mary and Julia were exceptional throughout the process. They guided us through each step, supported us during the inevitable highs and lows, and consistently provided clear, compassionate direction. We chose to return to 3 Sisters years later as we prepare for our surrogacy journey, and we were matched within approximately three weeks of submitting our initial application—an outcome that exceeded our expectations. While the case management component does not feel quite as robust as it did during our first experience, we have been able to manage the coordination on our side without significant difficulty. Overall, I would confidently recommend Mary and her team to anyone seeking knowledgeable professionals in this space. Regarding some of the other comments posted here: we have known these individuals for the past five to six years, and what I have experienced firsthand is not accurately reflected in certain reviews.
View on Google (opens in a new tab)This agency is so helpful and thoughtful. I have now completed 2 journeys through them as a surrogate that have been smooth and very easy due to their help. The coordinators are very prompt with answering any questions or concerns. I will absolutely be using them again. Love this place !
View on Google (opens in a new tab)When dealing with a company in this space you would expect that time and appointments would be respected given the emotional nature of the product but these women don't do that. We had an appt scheduled, and were rescheduled at the time of appointment for later that same afternoon, no call was ever made and our attempts to reach out/verify while waiting were ignored. If youre going to spend north of $200k through this process, take the money to a company who respects it.
View on Google (opens in a new tab)Google reviews are shown as written and link to the original. Reviewer type is inferred from what each reviewer wrote.
Base compensation
Not published — ask the agency
Requirements change — confirm with the agency before applying.
See which agencies fit you3 Sisters Surrogacy accepts gestational surrogates between 22 and 38 years old.
3 Sisters Surrogacy requires surrogates to have a BMI of 32 or lower.
Yes. 3 Sisters Surrogacy requires surrogates to have had at least 1 prior pregnancy.
No. 3 Sisters Surrogacy requires surrogates to be non-smokers.
3 Sisters Surrogacy's citizenship or residency requirement for surrogates: Resident of a surrogacy-friendly U.S. state.
