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Questions to ask Surrogacy Programs

How long has the program been in operation? Does the program maintain a referral listing of previous clients?


 Does the program recruit its own surrogates? Through what means?


 Will they work with a surrogate recruited by the intended parents?


 How are surrogates expenses handled? Is there a cap on these expenses?


 Does the program offer medical screening of the surrogate? To what extent? Who does the screening?


 What are the costs of surrogacy (traditional, gestational or donor)? What is the fee payment structure?


 What are the financial obligations incurred by the intended parents? What is the payment schedule?


 How long are the surrogate’s medical records kept?


 Does the program offer psychological screening and counseling to all parties? To what extent?


 Does the program offer on-site medical services (insemination or IVF) or do they work with local physicians and hospitals?


 How many babies have been born through the agency/clinic’s surrogacy programs?


 To what extent is contact between the surrogate and the intended parents encouraged? (By letter, meeting face-to-face, on-going?)


 Can the intended parents be present at the birth?


 What type of legal counsel is offered to the surrogate and the intended parents? Does this include the drawing up of contracts?


 Does the program offer adoption finalization services (if applicable)?


 What are the fees for informational meetings or interviews?


 What are the financial obligations incurred by the couple? What is the payment schedule?


 If the surrogate does not get pregnant over a certain number of cycles, what is the clinic's policy regarding fees paid?


 In the event that the contract is not honored, what are the financial obligations for the couple?


 In the event that the surrogate has a pregnancy loss, what are the financial obligations for the couple?


 Does the program have a Medical Registry for updating the medical history of the surrogates or the children?


 Does the program have a registry for the surrogate and children to exchange information when the child reaches maturity?

RESOLVE: The National Infertility Association

There are technically two types of surrogacy arrangements, traditional surrogacy and host uterus surrogacy.

During traditional gestational carrier procedures, sperm is inseminated into the carrier, and the resulting child has genes from both the carrier and sperm. Host uterus surrogacy is a gestational carrier arrangement where an embryo is transferred to the carrier uterus. In this case, the baby does not share any genes with the surrogate. This practice has become the most common procedure, and traditional surrogacy has fallen out of favor.

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