Gestational Surrogacy Program
Safe, legal and transparent gestational surrogacy in the four most established destinations: California (USA), Georgia, Mexico and Colombia. California offers the world's most complete legal framework — commercial surrogacy is fully legal, a Pre-Birth Order secures the intended parents' rights, and the baby is a US citizen at birth. Georgia and Mexico deliver the same journey at roughly half the US cost.
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3,000+
Families Served
98%
Customer Satisfaction
4
Countries Covered
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Why Choose This Service
Four destinations: California (most complete law), Georgia (best value), Mexico (close to North America), Colombia (rising Latin American hub)
California's Pre-Birth Order system confirms parentage before birth — the baby is a US citizen from day one
Strict surrogate vetting: age 21-38, at least one healthy delivery, psychological evaluation and criminal background check
Surrogacy live birth rate of 60-75% (SART 2022) — no significant difference from standard IVF success rates
Independent legal counsel represents each party; the contract covers medical risks, compensation and parentage
Georgia program totals about $55,000-75,000 — less than half the cost of the US option
One-stop help with the baby's return documents: birth certificate + US passport + PRC Travel Document + hukou guidance
A dedicated Chinese-speaking consultant follows the case from matching to arriving home — zero communication barriers
What's Included
From pre-treatment evaluation to post-treatment follow-up, fully covered
Is This Service Right for You?
These groups will benefit the most from this service
Women who cannot carry a pregnancy due to uterine factors (congenital absence of uterus, hysterectomy, severe intrauterine adhesions)
Families after multiple failed IVF transfers (implantation failure or recurrent miscarriage)
Same-sex male couples who want a genetically related child
Single men who want to become fathers
Older women whose health makes pregnancy unsafe
Families at risk of transmitting a genetic disorder who need PGT-A screened embryos carried by a surrogate
Cancer survivors who preserved fertility but cannot carry a pregnancy
Women advised against pregnancy after severe obstetric complications
Process Steps
Standard procedure, subject to actual hospital plan
Consultation and Assessment
We review your medical history, family-building goals and budget in depth. Your consultant recommends the best route: destination country, medical pathway and legal framework.
Surrogate Matching
Candidates are filtered against your preferences: age, region, obstetric history and personality assessment. Matching succeeds about 95% of the time, with an average wait of 2-4 months.
Legal Contracts
Independent lawyers for both sides review and sign the surrogacy agreement, defining compensation, medical responsibilities and parentage. In the US, the Pre-Birth Order application runs in parallel.
IVF Medical Cycle
Egg retrieval → ICSI fertilization → blastocyst culture → PGT-A genetic screening → embryo freezing. The surrogate's endometrial preparation happens at the same time.
Embryo Transfer and Pregnancy Care
A high-quality embryo is thawed and transferred (single embryo transfer is preferred when euploid embryos are available). The surrogate receives full prenatal care plus psychological support.
Birth and Travel Documents
The intended parents attend the delivery. Within 24 hours the birth certificate is filed → US passport (2-3 weeks) → PRC Travel Document (1-2 weeks).
Settling Back Home in China
We assist with household registration (hukou) paperwork, recommend pediatric follow-up resources and keep your case archive long-term.
Every situation is different
Our advisors tailor the most suitable plan based on your age, health and family-building goals
Do any of these sound familiar?
- Born without a uterus, or no uterus after surgery — you were told carrying a pregnancy yourself is impossible
- Multiple failed transfers — good embryos, repeated non-implantation, running out of second chances
- A gay couple or a single father — dreaming of a child with your own genes, unsure which country makes it legal
Gestational surrogacy solves exactly these situations in countries where the law allows it. An embryo created from the intended parents’ (or donors’) eggs and sperm via IVF is transferred to a screened surrogate, who carries and delivers the baby — with no genetic link between the surrogate and the child.
What the Data Says About Surrogacy Success
Gestational surrogacy works at scale. Per the Society for Assisted Reproductive Technology (SART 2022), US clinics complete about 3,500 surrogate cycles per year, with clinical pregnancy rates of 65-75% using euploid (chromosomally normal) embryos and live birth rates of 60-70% — no significant difference from overall IVF live birth rates. The global surrogacy market is growing 12-14% per year (Grand View Research 2025), driven by later family-building, growing LGBTQ+ family demand and advances in reproductive medicine.
ProIVF partners with licensed surrogacy agencies and fertility centers across four destinations — California (strongest law), Georgia (best value), Mexico (closest to North America) and Colombia (an emerging Latin American hub) — so you can pick the plan that fits your legal needs, budget and medical expectations, with one-stop support from consultation to your baby’s household registration in China.
Surrogacy arrangements should be structured to protect the interests and welfare of the child, the intended parents and the surrogate, with independent legal counsel and medical screening for all parties. — Ethics Committee of the American Society for Reproductive Medicine (ASRM), 2023
Which Countries Allow Surrogacy? Legal Framework Compared
Legal protection is the single most important factor when choosing a surrogacy destination. The table below compares the four destinations on the points that matter most:
| Dimension | California, USA | Georgia | Mexico | Colombia |
|---|---|---|---|---|
| Commercial surrogacy | Fully legal — case law plus statutory protection | Legal — protected under the civil code framework | Allowed in some states (Tabasco, Campeche and others) | Constitutional — recognized by the Constitutional Court |
| Pre-Birth Order | Yes — parentage confirmed before birth | No — parentage confirmed after birth | Available in a few states only | Possible through judicial proceedings |
| Baby’s citizenship | US citizenship (birthright citizenship) | No Georgian citizenship | No Mexican citizenship | No Colombian citizenship |
| Open to international clients | Yes — no nationality restrictions | Yes | Yes | Yes |
| Single men | Allowed | Allowed | Depends on clinic policy | Depends on clinic policy |
| Same-sex couples | Fully protected — both parents can appear on the birth certificate | Different-sex couples clearly covered; protection for same-sex couples insufficient | Legally unclear | Legally unclear |
| Average total cost | $100,000-180,000 | $55,000-75,000 | $60,000-90,000 | $50,000-70,000 |
| Surrogate matching time | 2-4 months | 3-6 months | 2-5 months | 3-6 months |
Information current as of July 2026. Surrogacy laws in all four destinations can change — confirm the latest status with a specialized attorney before starting. ProIVF retains contracted law firms in every partner country and can deliver real-time legal updates.
How Much Does Surrogacy Cost, and What Drives the Total?
Surrogacy costs far more than standard IVF because surrogate compensation, legal process and insurance are layered on top of the medical cycle. Below is the itemized comparison across the four destinations (USD):
| Cost Item | California, USA | Georgia | Mexico | Colombia |
|---|---|---|---|---|
| IVF medical (incl. ICSI + blastocyst culture) | $15,000-30,000 | $5,000-10,000 | $8,000-15,000 | $5,000-10,000 |
| PGT-A genetic screening | $3,000-5,000 | $2,000-4,000 | $2,500-4,000 | $2,000-3,500 |
| Surrogate compensation | $35,000-55,000 | $15,000-25,000 | $18,000-30,000 | $12,000-20,000 |
| Surrogate medical insurance | $15,000-25,000 | $2,000-5,000 | $2,000-6,000 | $1,500-4,000 |
| Legal fees (incl. Pre-Birth Order) | $10,000-18,000 | $3,000-5,000 | $3,000-6,000 | $2,000-5,000 |
| Surrogacy agency fee | $20,000-40,000 | $10,000-15,000 | $12,000-20,000 | $8,000-15,000 |
| Other (travel / living / contingency) | $5,000-15,000 | $3,000-8,000 | $3,000-10,000 | $2,000-8,000 |
| Total | $100,000-180,000 | $55,000-75,000 | $60,000-90,000 | $50,000-70,000 |
Cost notes: figures are reference ranges; actual totals vary with your situation (add $15,000-25,000 if egg donation is needed), the number of transfers and pregnancy outcome. Keep a 10-15% contingency reserve.
How Are Surrogates Screened and Matched?
The surrogate is the most critical participant in the journey, so ProIVF partner agencies run multiple rounds of vetting to secure health and reliability.
Screening Standards
| Dimension | Minimum Requirement | Ideal Requirement |
|---|---|---|
| Age | 21-38 years | 25-32 years |
| Obstetric history | At least one healthy live birth | 2+ uncomplicated deliveries |
| BMI | ≤ 30 | ≤ 28 |
| Health screening | No chronic or infectious disease | No history of pregnancy complications |
| Psychological evaluation | Passes MMPI-2 screening | Passes interview and home assessment |
| Background check | No criminal record | Stable family and social support |
| Insurance | Meets underwriting requirements | Maternity coverage already in place |
Matching Process
- Preference review: we shortlist candidates based on your preferences (region, ethnicity, age and more).
- File review: you receive the surrogate’s complete profile — health history, psychological report, references.
- Video or in-person meeting: both sides get to know each other and confirm the partnership.
- Match confirmation: a matching agreement is signed, and the legal and medical tracks begin.
Matching succeeds about 95% of the time, with an average wait of 2-4 months in the US. First-match failures or special requirements (same ethnicity, same region) can extend the wait.
Real Stories From Families We Helped
All cases below are published with patient consent after de-identification.
Case 1: Born Without a Uterus — One Surrogacy Journey, One Healthy Son
Ms. W (pseudonym), 29, has Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome — congenital absence of the uterus — with an AMH of 4.5 ng/mL. After marrying, her doctors recommended the California surrogacy route. Through ProIVF she connected with a partner fertility center in California: one stimulation yielded 18 eggs, 9 blastocysts, and PGT-A screening found 6 euploid embryos. She matched with a 28-year-old surrogate (mother of 2), and the first single embryo transfer achieved pregnancy. At 39 weeks she delivered a healthy boy weighing 3,280 g. Ms. W: “The day I learned at 16 that I had no uterus, I believed I would never have a child of my own. Once I knew California allowed surrogacy legally, the journey was long — but every single step felt solid.”
Total cost: IVF $22,000 + legal $15,000 + surrogate compensation $45,000 + insurance $18,000 + agency fee $30,000 + travel $8,000 = $138,000.
Case 2: Three Failed Transfers — Success via Georgia at Half the Price
Mr. L and Ms. Liu (pseudonyms), both 38. After pelvic inflammatory disease left Ms. Liu with severe hydrosalpinx and intrauterine adhesions, three IVF transfers at home never implanted. ProIVF’s assessment pointed them to Georgia for value: stimulation yielded 12 eggs, 5 blastocysts, and PGT-A kept 3 euploid embryos. They matched with a 33-year-old Georgian surrogate (mother of 1), and the first transfer ended in a live birth — a baby boy. Mr. L: “Three failures crushed us; we nearly gave up. Georgia’s cost made us feel we could try once more — and it worked the first time.”
Total cost: IVF + PGT $8,500 + surrogate compensation $20,000 + legal $4,000 + insurance $3,000 + agency fee $12,000 + travel $5,000 = $52,500.
Case 3: Two Dads, One Daughter — California Pre-Birth Order in Action
Mr. Z and Mr. Zhang (pseudonyms), both 36, from Shenzhen and legally married in the US. They chose California, selected an egg donor together from our partner egg bank, and fertilized donor eggs separately with each partner’s sperm to create two embryo groups. After PGT-A, one quality embryo from each group was transferred. The first round achieved pregnancy and carried to term — a baby girl. The Pre-Birth Order registered both fathers as legal parents, and the birth certificate lists both their names. Mr. Zhang: “From the video signing with our lawyer to holding the birth certificate with two dads’ names took a full 14 months. But when the nurse read our names at the hospital — no words can describe that moment.”
Total cost: IVF $25,000 + egg donation $18,000 + legal $16,000 + surrogate compensation $48,000 + insurance $20,000 + agency fee $35,000 + travel $10,000 = $172,000.
Legal Steps and Bringing Your Baby Home to China
California’s Pre-Birth Order
The Pre-Birth Order is the cornerstone of California surrogacy law. The application is typically filed with the court at gestational weeks 28-32, and the judge declares the intended parents the legal parents before the baby is born. At birth, the parents’ names go straight on the birth certificate — no involvement from the surrogate and no post-birth adoption needed.
Baby’s Document Checklist (California Birth Example)
- Birth certificate (24 hours to 2 weeks): hospital record → official certificate issued by county/state government
- US passport (2-3 weeks): both parents and baby present, or notarized authorization
- PRC Travel Document (1-2 weeks): issued by a Chinese consulate in the US; parents and baby must appear
- Household registration in China: US birth certificate (authenticated by the state secretary of state and the Chinese consulate) plus the PRC Travel Document
The full chain takes about 4-6 weeks. ProIVF supplies the document checklist and step-by-step guidance; contracted law firms handle the filings. For next steps, contact our consultants.
What Are the Risks and Limitations?
Surrogacy is powerful but not risk-free — know these before you commit:
- Legal risk: destination-country laws can change mid-program, and cross-border surrogacy carries inherent uncertainty. Confirm the latest legal status with a local specialist attorney before starting and keep a backup plan.
- Medical risk: single embryo transfer sharply reduces multiples risk, but the surrogate can still develop complications such as preeclampsia or gestational diabetes. Comprehensive insurance and a well-drafted contract are mandatory safeguards.
- Emotional risk: failed matching, failed transfer or a turbulent pregnancy take a psychological toll. Prepare before starting, and consider professional counseling.
- Financial risk: multiple transfer attempts, re-matching after an unsuccessful cycle, or legal/visa changes can push real costs above budget. The contract must define refund and cost-allocation rules for failure.
- Return-to-China uncertainty: requirements for the Travel Document and hukou registration differ across cities — confirm the current policy with your local entry-exit and household-registration authorities before starting.
- Citizenship note: outside the US, babies born in Georgia, Mexico or Colombia do not automatically gain local citizenship; they return to China on a PRC Travel Document based on the parents’ Chinese nationality, then are registered in the hukou system.
Sources Behind This Page
This page is written by the ProIVF Medical Editorial Team and grounded in peer-reviewed research and authoritative guidance, including: the SART annual reports (2022); the ASRM Ethics Committee opinion on third-party reproduction (Fertility and Sterility, 2023); ACOG’s committee opinion on pregnancy and advanced age (2023); the CDC national ART surveillance report (2022); Grand View Research’s global surrogacy market report (2025); Georgia’s Law on Healthcare provisions on assisted reproductive technology; and California Family Code Section 7600 and related surrogacy statutes.
All clinical figures carry their sources, and all cases are published with patient consent after de-identification. Content is reviewed by the ProIVF Medical Advisory Board for accuracy and balance. Legal information reflects current statutes provided by our partner law firms and does not constitute legal advice — consult a qualified attorney before deciding.
Your Concerns, Addressed
“What if the law changes halfway through our program?” ProIVF contracts law firms in all four destination countries that monitor legislative developments in real time. We build backup options into your plan before signing, and contracts allocate responsibility if a legal change affects timelines.
“Who actually represents our interests?” Each side — intended parents and surrogate — has an independent lawyer. Compensation, medical decisions, parentage and birth-certificate terms are all fixed in writing before any medication starts.
“Is the surrogate’s health really protected?” Surrogates carry dedicated maternity insurance arranged before the contract, and agency teams run a 24-hour emergency response with referral channels to top hospitals. Their medical costs and insurance deductibles sit with the insurance and agency, not with you, per the contract.
“What if we cannot reach the clinic for updates?” A dedicated Chinese-speaking consultant follows your case from matching through arrival home, with a 24-hour coordination channel for anything urgent.
“Where do we start?” With a free assessment of your medical history and goals — reach out through our contact page and we will map the destination, medical path (see also our IVF Full Package) and budget within days.
Data last updated: July 11, 2026. This page is educational and does not constitute medical or legal advice. Specific treatment plans should be discussed with a reproductive medicine specialist. Cost figures are multi-center survey reference ranges; actual fees vary with your individual plan, destination country and chosen clinic. ProIVF recommends verifying current quotes and legal status directly with target clinics and agencies before making any decision.
Before vs After: Data Comparison
The following comparison shows key metrics before and after using this service, sourced from peer-reviewed clinical studies
Families with uterine factor — live birth rate carrying pregnancy vs using a surrogate (%)
Source：SART 2022
Parentage-challenge risk — without vs with an established legal framework (%)
Source：ASRM Ethics Committee 2023
Pregnancy risk — intended mother aged 40+ vs screened surrogate (%)
Source：ACOG 2023
Surrogate screening pass rate — open channels vs ProIVF partner agencies' strict vetting (%)
Source：GCLA industry data
FAQ
Common questions about Gestational Surrogacy Program
In which US states is surrogacy legal, and why choose California?
How does Georgia compare with the US for surrogacy?
How are surrogates screened, and what are the standards?
What is included in the total cost, and what hidden fees should I watch for?
How long from signing up to holding the baby?
Can same-sex male couples use surrogacy?
Does surrogacy pose health risks to the baby?
Can a single man have his own child through surrogacy?
How do we bring the baby back to China, and which documents are needed?
What happens if the surrogate has pregnancy complications?
Is surrogacy or adoption the better fit for us?
What if the embryo transfer fails — do we get any money back?
Still have questions?
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