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Independent ranking · intended parents

Best Surrogacy Agencies in the U.S. (October 2026)

An independent ranking of U.S. surrogacy agencies for intended parents, built from verified reviews, public records and each agency's own published information — scored by a published method.

Last updated Methodology v1.0.086 agencies ranked

No agency can pay to be ranked or listed. Surrogacy Central sells no placement, sponsorship or affiliate links. How we rank

Top picks by category

Drawn from the same scores as the overall ranking.

  • Best large full-service agency

    Growing Generations, founded in 1996, pairs long experience with strong reputation: 4.86 stars across 335 verified reviews. According to its website, it offers full-service surrogacy, works with LGBTQ and international intended parents, and publishes its fees.

    Runners-up: Giving Tree Surrogacy, Joy of Life

  • Best boutique agency

    With an estimated staff of just six, Surrogate Parenting Services pairs a small team with deep experience, founded in 1990, and strong reputation: 4.87 stars across 142 verified reviews, rising to 4.95 stars among 41 intended-parent reviews.

    Runners-up: Family Makers Surrogacy, Great Beginnings Surrogacy

  • Best for LGBTQ+ parents

    Growing Generations states on its website that it works with LGBTQ+ intended parents and publishes its fees. It ranks second overall for intended parents, backed by 4.86 stars across 335 reviews and a founding year of 1996.

    Runners-up: ISC, EDSI

  • Best for international intended parents

    Surrogate Parenting Services states it works with international intended parents and publishes its fees. It earns 4.87 stars across 142 reviews, with 4.95 stars from 41 intended-parent reviews, and was founded in 1990 with a BBB A+ grade and accreditation.

    Runners-up: Growing Generations, ISC

  • Best for transparency on cost

    NW Surrogacy Center publishes its fees, stating an agency fee of $37,000 and surrogate base compensation of $51,000-$99,000 on its website. That openness, backed by experience dating to its founding in 1994, puts it ahead of 14 qualifying agencies for cost transparency.

    Runners-up: Roots Surrogacy, Pathways to Parenthood

Overall ranking for intended parents

Scores are out of 100. Open “Score breakdown” on any agency to see how each factor contributed. See the ranking for surrogates.

  1. Rank 1

    Surrogate Parenting Services

    Best boutique agencyBest for international intended parentsWe had data for every ranking factor.

    4.9 (142 ratings)Laguna Niguel, CAFounded 1990Full-service

    Surrogate Parenting Services leads for intended parents on reputation, with 4.87 stars across 142 reviews and 4.95 stars from 41 intended-parent reviews. Founded in 1990, it also holds an A+ BBB grade with accreditation.

    Score breakdown
    • Reputation30% weight91
    • Review depth10% weight100
    • Experience15% weight100
    • Transparency15% weight77
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight100
    94/ 100
  2. Rank 2

    Growing Generations

    Best large full-service agencyBest for LGBTQ+ parentsWe had data for every ranking factor.

    4.9 (335 ratings)Los Angeles, CAFounded 1996Full-service

    Growing Generations ranks #2 of 86 for intended parents largely on reputation, with 4.86 stars across 335 verified reviews, and on experience, having been founded in 1996. It also holds an A+ BBB grade, though it is not BBB accredited.

    Score breakdown
    • Reputation30% weight90
    • Review depth10% weight100
    • Experience15% weight100
    • Transparency15% weight77
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight83
    92/ 100
  3. Rank 3

    ISC

    We had data for every ranking factor.

    5.0 (76 ratings)Murrieta, CAFounded 2012Full-service

    ISC ranks #3 of 86 for intended parents largely on reputation, with a 5-star average across 76 verified reviews, including 5 stars from 20 intended-parent reviews. It also holds an A+ BBB grade, though it is not BBB accredited.

    Score breakdown
    • Reputation30% weight97
    • Review depth10% weight76
    • Experience15% weight83
    • Transparency15% weight77
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight97
    90/ 100
  4. Rank 4

    EDSI

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.8 (67 ratings)Beverly Hills, CAFounded 2001Full-service

    EDSI ranks #4 of 86 for intended parents on the strength of its experience, having been founded in 2001, and its compliance profile, including an A+ BBB grade. It also holds 4.76 stars across 67 reviews, and the agency states it publishes its fees.

    Score breakdown
    • Reputation30% weight80
    • Review depth10% weightNo data
    • Experience15% weight100
    • Transparency15% weight77
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight100

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    87/ 100
  5. Rank 5

    Family Inceptions

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.9 (67 ratings)Suwanee, GAFounded 2008Full-service

    Family Inceptions ranks #5 of 86 for intended parents largely on reputation, with 4.88 stars across 67 reviews, including a 5-star average from 21 intended-parent reviews. It is BBB accredited, was founded in 2008, and the agency states it publishes its fees.

    Score breakdown
    • Reputation30% weight91
    • Review depth10% weightNo data
    • Experience15% weight90
    • Transparency15% weight77
    • Compliance & accountability20% weight90
    • Surrogate support & compensation10% weight99

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    87/ 100
  6. Rank 6

    Family Makers Surrogacy

    We had data for every ranking factor.

    4.8 (36 ratings)Sandy Springs / Atlanta, GAFounded 2016Full-service

    Family Makers Surrogacy ranks #6 for intended parents on the strength of its reputation, 4.78 stars across 36 reviews, and its compliance factor, backed by an A+ BBB grade with accreditation. The agency also publishes its fees, stating a $45,000 agency fee.

    Score breakdown
    • Reputation30% weight84
    • Review depth10% weight85
    • Experience15% weight74
    • Transparency15% weight80
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight97
    86/ 100
  7. Rank 7

    West Coast Surrogacy (WCS)

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.8 (19 ratings)Aliso Viejo, CAFounded 2007Full-service

    West Coast Surrogacy holds an A+ BBB grade with accreditation and was founded in 2007, which anchors its compliance and experience standing. Its reputation draws on 4.79 stars across 19 verified reviews, and the agency states it publishes its fees.

    Score breakdown
    • Reputation30% weight83
    • Review depth10% weightNo data
    • Experience15% weight92
    • Transparency15% weight74
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight97

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    86/ 100
  8. Rank 8

    Road to Baby

    We had data for every ranking factor.

    5.0 (82 ratings)Carlsbad, CAFounded 2019Full-service

    Road to Baby ranks #8 of 86 for intended parents largely on reputation, with 4.95 stars across 82 verified reviews, backed by an A+ BBB grade with accreditation. Founded in 2019, it has a shorter track record than many agencies.

    Score breakdown
    • Reputation30% weight94
    • Review depth10% weight89
    • Experience15% weight64
    • Transparency15% weight69
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight78
    85/ 100
  9. Rank 9

    Giving Tree Surrogacy

    We had data for every ranking factor.

    4.9 (98 ratings)Irvine, CAFounded 2015Full-service

    Giving Tree Surrogacy's #9 placement rests mainly on reputation, with 4.88 stars across 98 verified reviews, and on compliance, reflected in its A+ BBB grade and accreditation. According to its website, it publishes its fees and works with LGBTQ and international parents.

    Score breakdown
    • Reputation30% weight90
    • Review depth10% weight68
    • Experience15% weight76
    • Transparency15% weight77
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight68
    84/ 100
  10. Rank 10

    Joy of Life

    We had data for every ranking factor.

    5.0 (142 ratings)Ontario, CAFounded 2017Full-service

    Joy of Life ranks #10 of 86 for intended parents largely on reputation, with 5.0 stars across 142 verified reviews, plus an A+ BBB grade with accreditation. Its position is held back by fee transparency, which its website leaves unclear.

    Score breakdown
    • Reputation30% weight98
    • Review depth10% weight79
    • Experience15% weight71
    • Transparency15% weight45
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight86
    83/ 100
  11. Rank 11

    Simple Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    5.0 (19 ratings)TX: DallasFounded 2002Full-service

    Simple Surrogacy's A+ BBB grade with accreditation and its 2002 founding support its #11 spot for intended parents, alongside a 5-star average across 19 reviews; the agency states it is full-service and publishes its fees.

    Score breakdown
    • Reputation30% weight89
    • Review depth10% weightNo data
    • Experience15% weight99
    • Transparency15% weight71
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight48

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    83/ 100
  12. Rank 12

    Great Beginnings Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.8 (44 ratings)San Diego, CAFounded 1998Full-service

    Great Beginnings Surrogacy's #12 spot for intended parents rests on reputation, with 4.82 stars across 44 reviews, and experience, having been founded in 1998. According to its website, it publishes its fees and works with LGBTQ and international parents.

    Score breakdown
    • Reputation30% weight85
    • Review depth10% weight95
    • Experience15% weight100
    • Transparency15% weight74
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight95

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    83/ 100
  13. Rank 13

    All Families Surrogacy

    We had data for every ranking factor.

    4.9 (34 ratings)Beaverton, ORFounded 2014Full-service

    All Families Surrogacy's #13 spot for intended parents rests on its reputation, with 4.91 stars across 34 reviews, and its compliance, backed by a BBB A+ grade and accreditation. The Oregon agency, founded in 2014, states that it publishes its fees.

    Score breakdown
    • Reputation30% weight85
    • Review depth10% weight80
    • Experience15% weight79
    • Transparency15% weight74
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight45
    81/ 100
  14. Rank 14

    Hope Surrogacy

    We had data for every ranking factor.We found court records involving this agency. They're shown for your awareness and never change the score — see the agency's profile for details.

    4.8 (19 ratings)Madison, WIFounded 2004Full-service

    Hope Surrogacy's #14 spot for intended parents rests largely on compliance, with an A+ BBB grade and accreditation, and on experience, having been founded in 2004. Its 4.79-star average spans only 19 reviews, which limits its reputation score.

    Score breakdown
    • Reputation30% weight76
    • Review depth10% weight69
    • Experience15% weight96
    • Transparency15% weight80
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight48
    81/ 100
  15. Rank 15

    Compassionate Beginnings

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    5.0 (24 ratings)Cincinnati, OHFounded 2007Full-service

    Compassionate Beginnings ranks #15 for intended parents largely on reputation, with 5.0 stars across 24 verified reviews, plus an A+ BBB grade (not accredited). The agency states it is full-service and publishes its $20,000-$25,000 agency fee.

    Score breakdown
    • Reputation30% weight92
    • Review depth10% weightNo data
    • Experience15% weight92
    • Transparency15% weight89
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight0

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    80/ 100
  16. Rank 16

    Gift of Life Surrogacy

    We had data for every ranking factor.

    4.7 (22 ratings)Sylvania, OHFounded 2018Full-service

    Gift of Life Surrogacy holds an A+ BBB grade with accreditation, and it publishes its fees, stating an agency fee of $56,000. Its reviews average 4.68 stars across 22 ratings, a smaller base that tempers its position.

    Score breakdown
    • Reputation30% weight74
    • Review depth10% weight61
    • Experience15% weight67
    • Transparency15% weight86
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight89
    80/ 100
  17. Rank 17

    Egg Donor & Surrogate Solutions, LLC

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    5.0 (104 ratings)Frisco, TexasFounded 2007Full-service

    Egg Donor & Surrogate Solutions ranks #17 largely on reputation, with 4.96 stars across 104 verified reviews, and on experience, having been founded in 2007. Compliance data was missing, and the agency states it publishes its fees.

    Score breakdown
    • Reputation30% weight96
    • Review depth10% weight63
    • Experience15% weight92
    • Transparency15% weight74
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight78

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    80/ 100
  18. Rank 18

    ACRC Global

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.8 (71 ratings)Irvine, CAFounded 2015Full-service

    ACRC Global's position is driven by its reputation, with 4.76 stars across 71 reviews, and by compliance, reflected in an A grade and accreditation from the BBB. The agency states it works with LGBTQ and international parents and publishes its fees.

    Score breakdown
    • Reputation30% weight80
    • Review depth10% weightNo data
    • Experience15% weight76
    • Transparency15% weight77
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight68

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    79/ 100
  19. Rank 19

    Family Tree Surrogacy Center

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.8 (48 ratings)Chula Vista, CAFounded 2014Full-service

    Family Tree Surrogacy Center's #19 position for intended parents rests mainly on reputation, with 4.85 stars across 48 reviews, plus fee transparency, as the agency states it publishes its fees. It was founded in 2014.

    Score breakdown
    • Reputation30% weight84
    • Review depth10% weight92
    • Experience15% weight79
    • Transparency15% weight77
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight97

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    79/ 100
  20. Rank 20

    Golden Surrogacy

    We had data for every ranking factor.

    4.8 (53 ratings)Northbrook, ILFounded 2013Full-service

    Golden Surrogacy's position rests on its reputation, with 4.77 stars across 53 measured reviews, and its A+ BBB grade with accreditation. Its standing is held back by fee transparency, which its website leaves unclear, and a modest review count.

    Score breakdown
    • Reputation30% weight83
    • Review depth10% weight45
    • Experience15% weight81
    • Transparency15% weight45
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight96
    78/ 100
  21. Rank 21

    The Genesis Group

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.We found court records involving this agency. They're shown for your awareness and never change the score — see the agency's profile for details.

    4.6 (55 ratings)Pasadena, CaliforniaFounded 2003Full-service

    The Genesis Group ranks #21 of 86 for intended parents largely on experience, having been founded in 2003, and on compliance as a BBB-accredited agency. Its reputation rests on 4.64 stars across 55 reviews, and it publishes its fees.

    Score breakdown
    • Reputation30% weight76
    • Review depth10% weightNo data
    • Experience15% weight98
    • Transparency15% weight77
    • Compliance & accountability20% weight90
    • Surrogate support & compensation10% weight49

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    78/ 100
  22. Rank 22

    CSED

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.8 (11 ratings)Southborough, MAFounded 2007Full-service

    CSED, founded in 2007, ranks #22 of 86 for intended parents largely on reputation, with 4.82 stars across 11 reviews, and on experience. It states it offers full-service surrogacy and publishes its fees; compliance data was unavailable.

    Score breakdown
    • Reputation30% weight81
    • Review depth10% weightNo data
    • Experience15% weight92
    • Transparency15% weight77
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight95

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    77/ 100
  23. Rank 23

    Extraordinary Conceptions

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.5 (88 ratings)Carlsbad, CAFounded 2005Full-service

    Extraordinary Conceptions' position rests on its BBB A+ grade and long track record since its founding in 2005. Its reviews average 4.53 stars across 88 ratings, though only 13 come from intended parents, averaging 4.38.

    Score breakdown
    • Reputation30% weight68
    • Review depth10% weightNo data
    • Experience15% weight95
    • Transparency15% weight80
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight45

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    77/ 100
  24. Rank 24

    Modern Family Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.5 (15 ratings)La Mesa, CAFounded 2011Full-service

    Modern Family Surrogacy's #24 placement for intended parents rests on BBB accreditation and experience dating to its founding in 2011, while a 4.53-star average across only 15 reviews keeps its reputation score more modest; according to its website, it publishes its fees.

    Score breakdown
    • Reputation30% weight69
    • Review depth10% weightNo data
    • Experience15% weight85
    • Transparency15% weight69
    • Compliance & accountability20% weight90
    • Surrogate support & compensation10% weight92

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    76/ 100
  25. Rank 25

    Brownstone Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.8 (18 ratings)New York, NYFounded 2021Full-service

    Brownstone Surrogacy's position rests on its reputation, with 4.78 stars across 18 reviews, and transparency, as it publishes a $50,000 agency fee. Its founding in 2021 and missing compliance data hold it from ranking higher.

    Score breakdown
    • Reputation30% weight84
    • Review depth10% weight80
    • Experience15% weight55
    • Transparency15% weight91
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight99

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    76/ 100
  26. Rank 26

    Worldwide Surrogacy Specialists, LLC

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.6 (45 ratings)Fairfield, CTFounded 2009Full-service + legal

    Worldwide Surrogacy Specialists holds #26 for intended parents on reputation, with 4.64 stars across 45 reviews, and experience dating to its founding in 2009. Its compliance factor lacked data, and it is not BBB accredited.

    Score breakdown
    • Reputation30% weight81
    • Review depth10% weight67
    • Experience15% weight89
    • Transparency15% weight71
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight100

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    76/ 100
  27. Rank 27

    Nascency

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    5.0 (22 ratings)Full-service + legal

    Nascency's 5-star average across 22 verified reviews and its A+ BBB grade (not accredited) support its #27 position, while fee transparency the agency's website leaves unclear holds it back, and no founding-year data was available to score experience.

    Score breakdown
    • Reputation30% weight91
    • Review depth10% weight70
    • Experience15% weightNo data
    • Transparency15% weight25
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight98

    Factors with no data are left out and the others re-weighted; the score is then reduced by 5% for the missing data.

    76/ 100
  28. Rank 28

    Choice Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.8 (19 ratings)Wimberley, TXFounded 2015Full-service

    Choice Surrogacy's position for intended parents rests on its BBB A+ grade (though it is not BBB-accredited) and a 4.79-star average, which comes from only 19 reviews. It states it publishes its fees and works with LGBTQ and international parents.

    Score breakdown
    • Reputation30% weight77
    • Review depth10% weightNo data
    • Experience15% weight76
    • Transparency15% weight71
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight50

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    76/ 100
  29. Rank 29

    Patriot Conceptions

    We had data for every ranking factor.

    4.5 (55 ratings)Irvine, CAFounded 2019Full-service

    Patriot Conceptions holds an A+ BBB grade (though it is not BBB-accredited), and its reviews average 4.55 stars across 55 ratings. The agency states it publishes its fees, but its 2019 founding and modest review volume keep it mid-table at #29.

    Score breakdown
    • Reputation30% weight71
    • Review depth10% weight49
    • Experience15% weight64
    • Transparency15% weight77
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight77
    75/ 100
  30. Rank 30

    Southern California Surrogacy

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    5.0 (20 ratings)Irvine, CAFull-service

    Southern California Surrogacy's position rests mainly on reputation, with 4.95 stars across 20 verified reviews, and the agency states it publishes its fees. Missing data on compliance, experience and review depth limits how far those strengths carry it.

    Score breakdown
    • Reputation30% weight88
    • Review depth10% weightNo data
    • Experience15% weightNo data
    • Transparency15% weight74
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight98

    Factors with no data are left out and the others re-weighted; the score is then reduced by 14% for the missing data.

    74/ 100
  31. Rank 31

    Same Love Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.5 (96 ratings)Los Angeles, CAFounded 2014Full-service

    Same Love Surrogacy's position rests on reviews, averaging 4.53 stars across 96 ratings, and on fee transparency: it publishes a $40,000 agency fee on its website. Missing compliance data, a heavily weighted factor, holds its ranking back.

    Score breakdown
    • Reputation30% weight70
    • Review depth10% weight93
    • Experience15% weight79
    • Transparency15% weight89
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight76

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    74/ 100
  32. Rank 32

    NW Surrogacy Center

    Best for transparency on costWe had data for every ranking factor.The Better Business Bureau lists at least one complaint the agency hasn't responded to. This lowers its compliance score.

    4.6 (145 ratings)Portland, ORFounded 1994Full-service + legal

    NW Surrogacy Center, founded in 1994, earns its #32 spot on long experience and published fees, including a stated $37,000 agency fee, along with 4.58 stars across 145 reviews; a C+ BBB grade without accreditation holds it back.

    Score breakdown
    • Reputation30% weight76
    • Review depth10% weight80
    • Experience15% weight100
    • Transparency15% weight97
    • Compliance & accountability20% weight30
    • Surrogate support & compensation10% weight70
    73/ 100
  33. Rank 33

    Fertility Heaven Egg Donor & Surrogacy Agency

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    5.0 (29 ratings)Miami, FLFounded 2012Full-service

    Fertility Heaven's reputation carries its #33 position, with a 5-star average across 29 verified reviews, including 7 from intended parents, and it was founded in 2012; missing compliance and review-depth data keep it from ranking higher.

    Score breakdown
    • Reputation30% weight93
    • Review depth10% weightNo data
    • Experience15% weight83
    • Transparency15% weight66
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight60

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    73/ 100
  34. Rank 34

    Gestacy Surrogacy Agency

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    5.0 (188 ratings)Escondido, CAFounded 2017Full-service

    Gestacy's mid-table position rests on strong reviews, 4.96 stars across 188 reviews, including 4.97 from 58 intended-parent reviews, while fees that are unclear on its own website and missing compliance data hold it back.

    Score breakdown
    • Reputation30% weight96
    • Review depth10% weight88
    • Experience15% weight71
    • Transparency15% weight22
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight96

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    72/ 100
  35. Rank 35

    Delivering Hope

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    5.0 (21 ratings)Coeur d'Alene, IDFull-service

    Delivering Hope's position rests on reputation, with 5-star averages across 21 verified reviews, including 13 from intended parents, and on transparency, as the agency states it publishes its fees. Missing compliance and experience data keep it from ranking higher.

    Score breakdown
    • Reputation30% weight93
    • Review depth10% weightNo data
    • Experience15% weightNo data
    • Transparency15% weight74
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight66

    Factors with no data are left out and the others re-weighted; the score is then reduced by 14% for the missing data.

    72/ 100
  36. Rank 36

    PrimeSurro

    We had data for every ranking factor.

    4.5 (51 ratings)Irvine, CAFounded 2019Full-service

    PrimeSurro's A+ BBB grade with accreditation anchors its #36 position for intended parents, supported by 4.53 stars across 51 reviews. Its relatively recent founding in 2019 and modest review volume keep it mid-table.

    Score breakdown
    • Reputation30% weight70
    • Review depth10% weight53
    • Experience15% weight64
    • Transparency15% weight40
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight95
    71/ 100
  37. Rank 37

    TPI

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.8 (26 ratings)Marietta, GAFull-service + legal

    TPI's mid-table position rests largely on reputation, with 4.85 stars across 26 reviews, and the agency states it publishes its fees. Missing data on compliance, experience and review depth limits how high it can rank for intended parents.

    Score breakdown
    • Reputation30% weight86
    • Review depth10% weightNo data
    • Experience15% weightNo data
    • Transparency15% weight69
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight93

    Factors with no data are left out and the others re-weighted; the score is then reduced by 14% for the missing data.

    71/ 100
  38. Rank 38

    Conceptual Options

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.6 (20 ratings)San Diego, CAFounded 1999Full-service

    Conceptual Options' mid-table position rests on experience, founded in 1999, and a 4.6-star average, though that comes from only 20 reviews; no compliance data was available, and the agency states it publishes its fees.

    Score breakdown
    • Reputation30% weight73
    • Review depth10% weight26
    • Experience15% weight100
    • Transparency15% weight74
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight96

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    71/ 100
  39. Rank 39

    Surrogate Steps

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    5.0 (24 ratings)Bethesda, MDFounded 2013Full-service

    Surrogate Steps' mid-table position rests mainly on reputation, with a 5-star average across 24 reviews, and on experience since its founding in 2013. Compliance and review-depth data were unavailable, which limits how much those strengths can lift it.

    Score breakdown
    • Reputation30% weight91
    • Review depth10% weightNo data
    • Experience15% weight81
    • Transparency15% weight69
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight45

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    71/ 100
  40. Rank 40

    Physician's Surrogacy

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.5 (118 ratings)San Diego, CAFounded 2015Full-service

    Physician's Surrogacy sits mid-table at #40 of 86 on a 4.55-star average across 118 reviews and fee transparency, as it publishes its fees, while missing compliance and review-depth data hold its position back.

    Score breakdown
    • Reputation30% weight71
    • Review depth10% weightNo data
    • Experience15% weight76
    • Transparency15% weight80
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight87

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    69/ 100
  41. Rank 41

    Village Surrogacy

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    5.0 (21 ratings)Chapel Hill, NCFull-service

    Village Surrogacy's mid-table position rests on reputation, with 5.0 stars across 21 reviews, and it publishes its fees, according to its website. Missing data for compliance, experience and review depth, which together carry heavy weight, holds it back.

    Score breakdown
    • Reputation30% weight91
    • Review depth10% weightNo data
    • Experience15% weightNo data
    • Transparency15% weight69
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight66

    Factors with no data are left out and the others re-weighted; the score is then reduced by 14% for the missing data.

    69/ 100
  42. Rank 42

    NYSC

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    5.0 (10 ratings)Albany, NYFounded 2020Full-service

    NYSC sits mid-table at #42 of 86: its reputation is strong, with 5.0 stars across 10 reviews, and it publishes its $22,500 agency fee, but founded in 2020, it has limited experience and no compliance data for us to score.

    Score breakdown
    • Reputation30% weight88
    • Review depth10% weightNo data
    • Experience15% weight60
    • Transparency15% weight77
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weightNo data

    Factors with no data are left out and the others re-weighted; the score is then reduced by 12% for the missing data.

    69/ 100
  43. Rank 43

    Roots Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.5 (24 ratings)Roseville, CAFounded 2015Full-service

    Roots Surrogacy sits mid-table at #43 of 86: it publishes its agency fee ($50,000-$150,000), lifting transparency, but its 4.5-star average rests on just 24 reviews, and compliance data was missing for the heavily weighted compliance factor.

    Score breakdown
    • Reputation30% weight65
    • Review depth10% weight43
    • Experience15% weight76
    • Transparency15% weight97
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight88

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    69/ 100
  44. Rank 44

    Pathways to Parenthood

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.6 (11 ratings)Overland Park, KSFull-service

    Pathways to Parenthood sits mid-table at #44 of 86, helped by fee transparency: it publishes a $28,000 agency fee. Its 4.64-star average spans only 11 reviews, and missing compliance and experience data limit its position for intended parents.

    Score breakdown
    • Reputation30% weight75
    • Review depth10% weightNo data
    • Experience15% weightNo data
    • Transparency15% weight94
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight66

    Factors with no data are left out and the others re-weighted; the score is then reduced by 14% for the missing data.

    68/ 100
  45. Rank 45

    CFC

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.7 (58 ratings)Chevy Chase, MDFounded 2001Full-service + legal

    CFC, founded in 2001, draws strength from its long track record and a 4.71-star average across 58 reviews, but it sits mid-pack at #45 partly because, according to its website, fees are available only by quote.

    Score breakdown
    • Reputation30% weight74
    • Review depth10% weight47
    • Experience15% weight100
    • Transparency15% weight47
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight86

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    68/ 100
  46. Rank 46

    Circle Surrogacy

    We had data for every ranking factor.

    4.5 (58 ratings)Boston, MAFounded 1995Full-service + legal

    Founded in 1995 and BBB accredited, Circle Surrogacy gains from its experience, but its mid-table #46 spot reflects a 3.25-star average across just 4 reviews from intended parents and fee information that is unclear on its website.

    Score breakdown
    • Reputation30% weight65
    • Review depth10% weight17
    • Experience15% weight100
    • Transparency15% weight45
    • Compliance & accountability20% weight90
    • Surrogate support & compensation10% weight65
    68/ 100
  47. Rank 47

    Family Source Consultants

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.6 (74 ratings)Chicago, ILFounded 2007Full-service

    Family Source Consultants, founded in 2007, earns a strong experience score, and the agency states it publishes its fees. Its mid-table position reflects a moderate reputation score despite 4.61 stars across 74 reviews, and compliance data that was unavailable.

    Score breakdown
    • Reputation30% weight67
    • Review depth10% weight59
    • Experience15% weight92
    • Transparency15% weight74
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight64

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    67/ 100
  48. Rank 48

    Accel Conceptions

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    5.0 (39 ratings)El Cajon, CAFounded 2019Full-service

    Accel Conceptions holds 5 stars across 39 reviews, which lifts its reputation, but the agency's website leaves fees unclear and compliance data is missing, keeping it mid-pack at #48. Founded in 2019, it states it works with LGBTQ and international parents.

    Score breakdown
    • Reputation30% weight94
    • Review depth10% weightNo data
    • Experience15% weight64
    • Transparency15% weight28
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight96

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    67/ 100
  49. Rank 49

    GSHC Surrogacy & Egg Donation

    We had data for every ranking factor.

    4.3 (81 ratings)Irvine, CAFounded 2016Full-service

    GSHC holds a BBB A grade with accreditation, but reputation, the most heavily weighted factor, keeps it mid-pack: 4.31 stars across 81 reviews. According to its website, it publishes its fees and works with LGBTQ and international parents.

    Score breakdown
    • Reputation30% weight49
    • Review depth10% weight57
    • Experience15% weight74
    • Transparency15% weight71
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weight48
    67/ 100
  50. Rank 50

    Fertility Miracles

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    5.0 (14 ratings)Beverly Hills, CAFounded 2007Full-service

    Fertility Miracles, founded in 2007, holds 5 stars across 14 reviews, but its fee transparency is unclear on its website and it is not BBB-rated, which keeps it mid-pack. According to its website, it works with LGBTQ and international parents.

    Score breakdown
    • Reputation30% weight88
    • Review depth10% weightNo data
    • Experience15% weight92
    • Transparency15% weight8
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight97

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    66/ 100
  51. Rank 51

    Happy Future Surrogacy

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.8 (27 ratings)City of Industry, CAFounded 2012Full-service

    Happy Future Surrogacy earns 4.85 stars across 27 reviews and has operated since 2012, but it sits mid-pack because its fee transparency is unclear on its website and no compliance data was available to score.

    Score breakdown
    • Reputation30% weight85
    • Review depth10% weightNo data
    • Experience15% weight83
    • Transparency15% weight25
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight93

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    66/ 100
  52. Rank 52

    Sowing Seeds Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    5.0 (20 ratings)Bettendorf, IAFounded 2015Full-service

    Sowing Seeds Surrogacy holds a 5-star average across 20 reviews, including 8 from intended parents, but its position is held back because its website does not specify fees and no compliance data was available; it is not BBB rated or accredited.

    Score breakdown
    • Reputation30% weight92
    • Review depth10% weight67
    • Experience15% weight76
    • Transparency15% weight0
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight100

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    65/ 100
  53. Rank 53

    Shared Conception

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.9 (36 ratings)Houston, TXFounded 2011Full-service

    Shared Conception, founded in 2011, draws strength from 4.86 stars across 36 reviews, but its #53 position reflects low transparency, with fees the agency's website leaves unclear, and missing compliance data.

    Score breakdown
    • Reputation30% weight88
    • Review depth10% weight82
    • Experience15% weight85
    • Transparency15% weight19
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weightNo data

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    65/ 100
  54. Rank 54

    Family Formers

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.9 (33 ratings)Palm Beach Gardens, FLFounded 2011Full-service

    Family Formers holds a strong reputation, with 4.88 stars across 33 reviews, and was founded in 2011, but missing compliance and review-depth data and a low surrogate-support score hold it to the middle of the ranking for intended parents.

    Score breakdown
    • Reputation30% weight88
    • Review depth10% weightNo data
    • Experience15% weight85
    • Transparency15% weight60
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight20

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    65/ 100
  55. Rank 55

    Pinnacle Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.5 (36 ratings)Santa Monica, CAFounded 2022Full-service

    Pinnacle Surrogacy, founded in 2022 with an estimated staff of six, is held back by limited experience and missing compliance data. It earns 4.53 stars across 36 reviews, and according to its website it publishes its fees.

    Score breakdown
    • Reputation30% weight69
    • Review depth10% weight81
    • Experience15% weight49
    • Transparency15% weight77
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight77

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    65/ 100
  56. Rank 56

    Global Surrogacy Services

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.9 (60 ratings)Beverly Hills, CAFull-service

    Global Surrogacy Services holds 4.87 stars across 60 reviews, with 5 stars from 22 intended-parent reviews, but its position is held back by unclear fee information on its website and missing data on compliance and experience.

    Score breakdown
    • Reputation30% weight91
    • Review depth10% weight100
    • Experience15% weightNo data
    • Transparency15% weight25
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weightNo data

    Factors with no data are left out and the others re-weighted; the score is then reduced by 14% for the missing data.

    64/ 100
  57. Rank 57

    Ivy Surrogacy

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.8 (62 ratings)Diamond Bar, CAFounded 2019Full-service

    Ivy Surrogacy's 4.79-star average across 62 reviews supports its reputation, but compliance data was missing and its 2019 founding limits its experience, holding it at #57 of 86 for intended parents. According to its website, it publishes its fees.

    Score breakdown
    • Reputation30% weight79
    • Review depth10% weightNo data
    • Experience15% weight64
    • Transparency15% weight74
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight47

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    64/ 100
  58. Rank 58

    RSMC

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.3 (101 ratings)San Diego, CAFounded 1995Full-service + legal

    RSMC, founded in 1995 and holding an A+ BBB grade, scores well on experience and compliance, but its 4.34-star average across 101 reviews and fee information its website leaves unclear hold it back to #58 of 86 for intended parents.

    Score breakdown
    • Reputation30% weight58
    • Review depth10% weightNo data
    • Experience15% weight100
    • Transparency15% weight14
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weightNo data

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    64/ 100
  59. Rank 59

    Stronger Together Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    5.0 (15 ratings)Surprise, AZFounded 2022Full-service

    Stronger Together Surrogacy, founded in 2022, holds 5 stars across 15 reviews, but its short track record, no published fee breakdown, and missing compliance data hold it back. The agency states it is full-service and works with LGBTQ+ parents.

    Score breakdown
    • Reputation30% weight88
    • Review depth10% weight51
    • Experience15% weight49
    • Transparency15% weight37
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight97

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    64/ 100
  60. Rank 60

    Loving Journey Surrogacy

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.7 (12 ratings)Los Angeles, CAFull-service

    Loving Journey Surrogacy's 4.67-star average across just 12 reviews supports its reputation, and the agency states it publishes its fees. Missing compliance and experience data, with no founding year or BBB record available, holds back its position at #60 of 86.

    Score breakdown
    • Reputation30% weight75
    • Review depth10% weightNo data
    • Experience15% weightNo data
    • Transparency15% weight71
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight69

    Factors with no data are left out and the others re-weighted; the score is then reduced by 14% for the missing data.

    63/ 100
  61. Rank 61

    Newborn Advantage

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.We found court records involving this agency. They're shown for your awareness and never change the score — see the agency's profile for details.

    5.0 (19 ratings)Dallas, TXFounded 2005Full-service

    Newborn Advantage, founded in 2005, earns 4.95 stars across 19 reviews, but it ranks lower because its website does not specify its fees, and compliance and review-depth data were unavailable for this ranking.

    Score breakdown
    • Reputation30% weight78
    • Review depth10% weightNo data
    • Experience15% weight95
    • Transparency15% weight14
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight88

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    63/ 100
  62. Rank 62

    Southern Surrogacy

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.4 (23 ratings)Atlanta, GAFull-service

    Southern Surrogacy's position is held back by missing data on compliance and experience, two heavily weighted factors. It averages 4.39 stars across 23 reviews, and the agency states it publishes its fees, supporting its transparency score.

    Score breakdown
    • Reputation30% weight67
    • Review depth10% weight80
    • Experience15% weightNo data
    • Transparency15% weight74
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight65

    Factors with no data are left out and the others re-weighted; the score is then reduced by 10% for the missing data.

    63/ 100
  63. Rank 63

    Elevate Baby

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.8 (183 ratings)Las Vegas, NVFull-service

    Elevate Baby earns 4.81 stars across 183 reviews and, according to its website, publishes its fees, but missing data on compliance, experience and review depth, plus a low surrogate-support score, keep it at #63 of 86 for intended parents.

    Score breakdown
    • Reputation30% weight86
    • Review depth10% weightNo data
    • Experience15% weightNo data
    • Transparency15% weight80
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight20

    Factors with no data are left out and the others re-weighted; the score is then reduced by 14% for the missing data.

    62/ 100
  64. Rank 64

    Vermont Surrogacy Network

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.4 (27 ratings)St. Albans, VTFounded 2014Full-service

    Vermont Surrogacy Network's position is held back by a modest reputation, built on 4.41 stars across only 27 reviews, and missing compliance data. Transparency helps: according to its website, it publishes its $30,000 agency fee and surrogate compensation of $50,000-$60,000.

    Score breakdown
    • Reputation30% weight60
    • Review depth10% weightNo data
    • Experience15% weight79
    • Transparency15% weight94
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight40

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    62/ 100
  65. Rank 65

    Flying Stork Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    5.0 (10 ratings)Corona, CAFounded 2023Full-service

    Founded in 2023 with an estimated staff of five, Flying Stork Surrogacy is held back by limited experience and thin review depth, with 5 stars across only 10 reviews. No compliance data was available, though the agency states it publishes its fees.

    Score breakdown
    • Reputation30% weight85
    • Review depth10% weight46
    • Experience15% weight43
    • Transparency15% weight71
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight57

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    62/ 100
  66. Rank 66

    Central Coast Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.1 (14 ratings)CaliforniaFounded 2013Full-service

    Central Coast Surrogacy ranks low mainly on reputation, the most heavily weighted factor, with 4.07 stars across just 14 reviews and no forum mentions; compliance data was also missing. Founded in 2013, it states it publishes its fees and works with international parents.

    Score breakdown
    • Reputation30% weight51
    • Review depth10% weight56
    • Experience15% weight81
    • Transparency15% weight66
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight98

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    62/ 100
  67. Rank 67

    Carrying Hope, A Surrogacy Agency

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.We found court records involving this agency. They're shown for your awareness and never change the score — see the agency's profile for details.

    4.8 (39 ratings)Brevard, North CarolinaFull-service

    Carrying Hope earns 4.77 stars across 39 reviews, but its fee transparency is unclear on its website, and missing compliance and experience data hold back its position for intended parents. The agency states it offers full-service surrogacy and works with LGBTQ parents.

    Score breakdown
    • Reputation30% weight84
    • Review depth10% weight88
    • Experience15% weightNo data
    • Transparency15% weight8
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight93

    Factors with no data are left out and the others re-weighted; the score is then reduced by 10% for the missing data.

    61/ 100
  68. Rank 68

    Family Matters Surrogacy

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.7 (19 ratings)San Diego, CAFounded 2016Full-service

    Family Matters Surrogacy ranks low mainly on transparency: its website leaves fees for intended parents unclear, and compliance data was missing. Its 4.69-star average spans just 19 reviews, and it was founded in 2016.

    Score breakdown
    • Reputation30% weight78
    • Review depth10% weightNo data
    • Experience15% weight74
    • Transparency15% weight19
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight90

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    60/ 100
  69. Rank 69

    OneWorld Generations

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.8 (50 ratings)Irvine, CAFounded 2018Full-service

    OneWorld Generations is held back by missing compliance data and fee information that its website leaves unclear, despite 4.8 stars across 50 reviews. Founded in 2018, it has a shorter track record than many ranked agencies.

    Score breakdown
    • Reputation30% weight84
    • Review depth10% weightNo data
    • Experience15% weight67
    • Transparency15% weight45
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight40

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    60/ 100
  70. Rank 70

    Kindred Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.1 (14 ratings)Clovis, CAFounded 2017Full-service

    Kindred Surrogacy's position is held back mainly by reputation, the heaviest-weighted factor, where it averages 4.14 stars across just 14 reviews, and by missing compliance data; it is also not BBB accredited. According to its website, it publishes a $35,000 agency fee.

    Score breakdown
    • Reputation30% weight54
    • Review depth10% weight50
    • Experience15% weight71
    • Transparency15% weight63
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight85

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    58/ 100
  71. Rank 71

    The Fertility Agency

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.3 (22 ratings)Los Angeles, CaliforniaFounded 2004Full-service

    The Fertility Agency's fees are unclear on its website, which weighs on its transparency, and its reputation rests on 4.27 stars across just 22 reviews. Its experience, founded in 2004, helps, but missing compliance data also holds its position back.

    Score breakdown
    • Reputation30% weight63
    • Review depth10% weightNo data
    • Experience15% weight96
    • Transparency15% weight11
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight95

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    58/ 100
  72. Rank 72

    Family Solutions International

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.1 (15 ratings)Houston, TXFull-service

    Family Solutions International ranks low mainly because compliance and experience data were missing and its reputation rests on 4.07 stars across just 15 reviews. It publishes its fees, stating an agency fee of $18,500-$21,500, which helps its transparency.

    Score breakdown
    • Reputation30% weight55
    • Review depth10% weight65
    • Experience15% weightNo data
    • Transparency15% weight94
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight45

    Factors with no data are left out and the others re-weighted; the score is then reduced by 10% for the missing data.

    57/ 100
  73. Rank 73

    Expect Miracles Surrogacy

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.5 (30 ratings)San Diego, CAFounded 2007Full-service

    Expect Miracles Surrogacy ranks low mainly on transparency, as the agency's published fee information is unclear, and on reputation, with 4.53 stars across just 30 reviews. Its experience, founded in 2007, helps but doesn't offset those gaps.

    Score breakdown
    • Reputation30% weight64
    • Review depth10% weightNo data
    • Experience15% weight92
    • Transparency15% weight17
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight74

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    56/ 100
  74. Rank 74

    Family Creations

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    3.4 (10 ratings)Los Angeles / Beverly Hills, CAFounded 2006Full-service

    Family Creations ranks low mainly on reputation, with 3.4 stars across just 10 reviews, and compliance data was unavailable. Its founding in 2006 and published fees, which the agency states run $45,000-$50,000, help offset that.

    Score breakdown
    • Reputation30% weight35
    • Review depth10% weight42
    • Experience15% weight93
    • Transparency15% weight94
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight44

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    56/ 100
  75. Rank 75

    Surrogate Prime

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.3 (45 ratings)Houston, TXFounded 2022Full-service

    Surrogate Prime, founded in 2022, ranks low largely on limited track record and missing compliance data, with no BBB information available. Its reputation draws on 4.29 stars across 45 reviews, and the agency states it publishes its fees.

    Score breakdown
    • Reputation30% weight62
    • Review depth10% weight65
    • Experience15% weight49
    • Transparency15% weight60
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight58

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    55/ 100
  76. Rank 76

    All Love Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    5.0 (12 ratings)Valencia, CAFounded 2023Full-service

    Founded in 2023 with an estimated staff of five, All Love Surrogacy is held back by limited experience, fee transparency the agency's own site leaves unclear, and missing compliance data, though its 5-star average across 12 reviews lifts its reputation.

    Score breakdown
    • Reputation30% weight88
    • Review depth10% weight60
    • Experience15% weight43
    • Transparency15% weight28
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight40

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    55/ 100
  77. Rank 77

    Creative Love Egg Donor & Surrogacy Agency

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.We found court records involving this agency. They're shown for your awareness and never change the score — see the agency's profile for details.

    4.8 (33 ratings)Fort Lauderdale, FLFull-service

    Creative Love's ranking is held back by limited fee transparency, as the agency's website leaves its fees unclear, and by missing compliance and experience data. Its reviews help, averaging 4.76 stars across 33 reviews, with 4.56 stars from 9 intended-parent reviews.

    Score breakdown
    • Reputation30% weight74
    • Review depth10% weightNo data
    • Experience15% weightNo data
    • Transparency15% weight19
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight100

    Factors with no data are left out and the others re-weighted; the score is then reduced by 14% for the missing data.

    55/ 100
  78. Rank 78

    Positive Surrogacy

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.6 (16 ratings)Santee, CAFounded 2016Full-service

    Positive Surrogacy's website does not specify its fees, and its single review from an intended parent averages 1 star, weighing on its position despite 4.64 stars across 16 reviews overall. Compliance data was also unavailable for this ranking.

    Score breakdown
    • Reputation30% weight59
    • Review depth10% weight85
    • Experience15% weight74
    • Transparency15% weight0
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight96

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    55/ 100
  79. Rank 79

    CSP

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    4.0 (25 ratings)Encino, CAFounded 1980Full-service

    CSP ranks low mainly on reputation: intended-parent reviews average 3.4 stars across just 5 ratings, with 4.04 stars over 25 reviews overall, and no compliance data was available. Its experience, founded in 1980, is its strongest factor.

    Score breakdown
    • Reputation30% weight36
    • Review depth10% weight35
    • Experience15% weight100
    • Transparency15% weight69
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight66

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    54/ 100
  80. Rank 80

    Donor Concierge

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    3.8 (18 ratings)San Rafael, CAFounded 2006Matching only

    Donor Concierge ranks low mainly on reputation, with 3.78 stars across 18 reviews, and on transparency, as its website leaves fees unclear. Its A+ BBB grade with accreditation and founding in 2006 aren't enough to lift it.

    Score breakdown
    • Reputation30% weight38
    • Review depth10% weight27
    • Experience15% weight93
    • Transparency15% weight8
    • Compliance & accountability20% weight100
    • Surrogate support & compensation10% weightNo data

    Factors with no data are left out and the others re-weighted; the score is then reduced by 3% for the missing data.

    53/ 100
  81. Rank 81

    YFA

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.2 (15 ratings)Los Angeles, CAFull-service

    YFA ranks #81 of 86 for intended parents largely because compliance and experience data were missing, and its reputation rests on a 4.2-star average across just 15 reviews. According to its website, it publishes its fees and offers full-service surrogacy.

    Score breakdown
    • Reputation30% weight59
    • Review depth10% weight60
    • Experience15% weightNo data
    • Transparency15% weight60
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight47

    Factors with no data are left out and the others re-weighted; the score is then reduced by 10% for the missing data.

    52/ 100
  82. Rank 82

    IFG

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.6 (10 ratings)Northbrook, IL, USAFounded 2013Full-service

    IFG ranks low for intended parents mainly because its fee transparency is unclear on its website and no compliance data was available. Its reviews are thin, with 4.6 stars across just 10 reviews, though it was founded in 2013.

    Score breakdown
    • Reputation30% weight75
    • Review depth10% weight23
    • Experience15% weight81
    • Transparency15% weight8
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weightNo data

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    50/ 100
  83. Rank 83

    Eggspecting

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.3 (11 ratings)Acworth, GAFounded 2006Full-service

    Eggspecting's low position reflects limited fee transparency, since the agency states it provides pricing by quote only, and a thin review base, with intended-parent reviews averaging 3 stars across just 2 reviews. Its founding in 2006 helps offset this.

    Score breakdown
    • Reputation30% weight52
    • Review depth10% weight49
    • Experience15% weight93
    • Transparency15% weight16
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weightNo data

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    48/ 100
  84. Rank 84

    Shining Light Baby

    One ranking factor had no data. The score uses the others, with a small reduction for the gap.

    3.6 (76 ratings)Schaumburg, ILFounded 2020Full-service

    Shining Light Baby's #84 placement for intended parents reflects a reputation factor weighed down by a 3.63-star average across 76 reviews, plus missing compliance data. Founded in 2020, it publishes its fees and states it works with LGBTQ+ and international parents.

    Score breakdown
    • Reputation30% weight18
    • Review depth10% weight100
    • Experience15% weight60
    • Transparency15% weight74
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weight20

    Factors with no data are left out and the others re-weighted; the score is then reduced by 6% for the missing data.

    44/ 100
  85. Rank 85

    My Surrogacy Journey

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.

    4.2 (11 ratings)Birmingham, England, United KingdomFounded 2020Full-service

    My Surrogacy Journey ranks near the bottom for intended parents mainly on reputation, with 3.25 stars across just 4 reviews from intended parents, and on fee transparency, since the agency states it provides pricing by quote only. No compliance data was available.

    Score breakdown
    • Reputation30% weight45
    • Review depth10% weight31
    • Experience15% weight60
    • Transparency15% weight22
    • Compliance & accountability20% weightNo data
    • Surrogate support & compensation10% weightNo data

    Factors with no data are left out and the others re-weighted; the score is then reduced by 9% for the missing data.

    37/ 100
  86. Rank 86

    EWS

    Several ranking factors had no data. The score uses the others, reduced in proportion to what's missing.We found court records involving this agency. They're shown for your awareness and never change the score — see the agency's profile for details.The Better Business Bureau lists at least one complaint the agency hasn't responded to. This lowers its compliance score.

    3.0 (10 ratings)Irvine, CAFull-service

    EWS is held back by a D- BBB grade without accreditation and a 3-star average across just 10 reviews; the agency states it is full-service, but its fee transparency is unclear, and data on its experience was missing.

    Score breakdown
    • Reputation30% weight20
    • Review depth10% weightNo data
    • Experience15% weightNo data
    • Transparency15% weight8
    • Compliance & accountability20% weight0
    • Surrogate support & compensation10% weight95

    Factors with no data are left out and the others re-weighted; the score is then reduced by 8% for the missing data.

    21/ 100

How we rank

Each agency gets a score out of 100 from six factors, each scored 0-100 and weighted for intended parents.

FactorWeightWhat it measures
Reputation30%Average review rating, adjusted for how many reviews there are: every agency's average is pulled toward the site-wide average by 10 average-rated reviews, so a 5.0 from three reviews can't beat a 4.8 from 200. Reviews written by people in your role count double, and forum and review-site posts without stars count half.Source: Google and Yelp star ratings on listings we verified, plus forum, Yelp and Trustpilot posts
Review depth10%How many reviews an agency has relative to its size (reviews per staff member, log-scaled and capped), so a large agency isn't rewarded for size alone.Source: Review counts and estimated staff size
Experience15%Years in operation, log-scaled and capped at 25 years.Source: Founding year from the agency, the BBB and other directories
Transparency15%Whether the agency publishes its fees, its fee amounts and its surrogate compensation, and how completely it states its surrogate requirements. A requirement the agency says it doesn't have counts as stated; one it never mentions counts against it.Source: The agency's own website
Compliance & accountability20%BBB letter grade and accreditation, a verified state license where one exists, and unanswered BBB complaints (which count against an agency). Court records are shown as flags but never change the score.Source: Better Business Bureau, state licensing records
Surrogate support & compensation10%Published base compensation for surrogates and what surrogates say about the support they received.Source: The agency's published compensation and surrogate reviews

Who gets ranked

  • Currently operating full-service, full-service + legal or matching-only agencies only — not clinics, consultants or law firms.
  • At least 10 star-rated reviews on Google or Yelp listings we've verified belong to the agency.
  • Enough researched information (at least 35% of the details we track).

Ground rules

  • No agency can pay to be ranked or listed. We don't sell placement, sponsorships or affiliate links.
  • Court records are shown as flags but never change a score.
  • Missing data never counts as zero: factors without data are left out and the rest re-weighted, then the score is reduced by up to 30% in proportion to what's missing.
  • Ranks change only when we publish a reviewed update — never automatically.

Read the full methodology →

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Frequently asked questions

  • Each agency gets a score out of 100 built from six factors: reputation from verified reviews, review depth relative to agency size, years of experience, transparency about fees and requirements, compliance and accountability, and surrogate support and compensation. The weights differ for intended parents and surrogates. The full rules are on the methodology page.

Report a correction

Agencies and families: if something on this page is factually wrong, tell us. We review every report and fix verified errors in the next update. Reports never change a rank on their own.