Surrogacy is more than a medical process—it’s a bond between two hearts sharing one beautiful dream: creating life. For intended parents who long for a child and surrogates who feel called to help, surrogacy becomes a deeply meaningful path to parenthood. But how does it all work? This guide breaks down the surrogacy journey—step by step.

What is Surrogacy?
Surrogacy is an arrangement where a woman (the surrogate) carries and delivers a baby for someone else (the intended parents). There are two main types:
- Traditional Surrogacy: The surrogate is artificially inseminated with the intended father’s sperm. She is the baby’s biological mother.
- Gestational Surrogacy: An embryo created through IVF using the intended parents’ or donors’ eggs and sperm is transferred to the surrogate. She has no genetic link to the baby.
Today, most surrogacy in the U.S. is gestational.
Who Chooses Surrogacy—and Why?
Surrogacy is an option for many different people:
- Couples facing infertility
- Women unable to carry a pregnancy
- Same-sex male couples
- Single men who want to become fathers
It offers the chance to build a biological connection to the child when other options aren’t possible.
The Surrogacy Process: A Step-by-Step Overview
1. Initial Consultation
Intended parents begin by speaking with a surrogacy agency or fertility clinic to understand the process, costs, and legal requirements.
2. Matching with a Surrogate
Agencies help match intended parents with a qualified, medically cleared surrogate. Both sides get to know each other before agreeing to move forward.
3. Legal Agreements
Independent attorneys draft contracts outlining each party’s rights, responsibilities, compensation, and what happens in various scenarios—this protects everyone involved.
4. Medical Screenings and IVF
The surrogate undergoes medical screenings. Then, embryos are created via IVF and transferred to her uterus at the appropriate time.
5. Pregnancy and Monitoring
The surrogate receives prenatal care, and both parties stay in touch throughout the pregnancy. Many build strong, lasting relationships.
6. Birth and Parental Transfer
After delivery, the baby is handed over to the intended parents, and legal parentage is confirmed through pre-arranged legal documentation.
Emotional Bonds that Last
The connection between surrogate and intended parents can be powerful. For surrogates, the joy of giving life is life-changing. For intended parents, it’s the realization of a dream that once seemed out of reach. Many describe the relationship as “extended family.”
Why Surrogacy Insurance Matters
Surrogacy involves complex medical procedures and potential risks. Proper surrogacy insurance ensures:
- Medical costs for the surrogate are covered
- Emergencies won’t lead to unexpected bills
- Peace of mind for both parties
Coverage may include maternity care, IVF procedures, delivery, and postnatal recovery.
Final Thoughts
Surrogacy is a journey fueled by compassion, trust, and shared purpose. Whether you’re an intended parent or a surrogate, your story becomes part of something extraordinary—a child brought into the world by two hearts, one dream, and an unshakable bond.
Thinking of starting your surrogacy journey? Talk to trusted professionals, ask questions, and walk the path with confidence and care. Your dream may be closer than you think.