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Surrogacy 101: Getting Started

Last updated August 31, 2026

What is surrogacy?

Surrogacy is when a woman — the surrogate — carries and delivers a baby for someone else, the intended parent(s), who will raise the child. It's a path to parenthood used by people facing infertility, same-sex couples, single parents by choice, and anyone else for whom pregnancy isn't possible or advisable.

What are the two types of surrogacy?

Today, almost all surrogacy arrangements are : the surrogate carries a baby she has no genetic connection to. An embryo, created using the intended parent(s)' egg/sperm or donor egg/sperm, is transferred into her uterus.

The other type, , uses the surrogate's own egg — which means she's genetically related to the baby. It's far less common today and generally involves more legal complexity.

Who is surrogacy for?

  • Intended parents facing infertility or medical conditions that make pregnancy unsafe
  • Same-sex couples building a family
  • Single parents by choice
  • Anyone else for whom carrying a pregnancy isn't an option

Who can become a surrogate?

Requirements vary by agency and clinic, but most look for someone who:

  • Has already had at least one healthy pregnancy and delivery of her own
  • Is within a certain age range (commonly 21–40)
  • Passes a medical and psychological screening
  • Has a stable living situation and support system

What does the journey generally look like, at a high level?

  1. Matching — a surrogate and find and choose each other
  2. Screening — medical and psychological evaluations
  3. Legal agreements — a written gestational carrier agreement, each party with their own attorney
  4. Medical process — embryo transfer and pregnancy
  5. Parentage and birth — legal parentage is established, and the baby is born

See the full process breakdown for a more detailed walkthrough of each stage, including typical timelines.

Where should I start?

  • If you're weighing whether surrogacy is right for you, start with the process overview to understand the full journey
  • If you want to understand your state's specific legal landscape, see the state legal guide
  • If cost is your biggest question, see the cost calculator

This isn't legal, medical, or financial advice — it's meant to help you understand the basics before you start asking more specific questions.

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