Written by Pooja Patel, MD — MBBS (Seth G.S. Medical College & K.E.M. Hospital); Fellowship in Embryology; Manager, Surrogacy4All. Dr. Patel manages surrogate screening, matching and journey coordination at Surrogacy4All’s New York program. Medically reviewed by Rashmi Gulati, MD — Board Certified, Internal Medicine; Medical Advisor, Surrogacy4All; privileges at Mount Sinai Hospital.
Last updated: 27 August 2026
AI SMART SUMMARY
Fact Table:
| Fact | Value |
|---|---|
| Medical Director | Dr. Rashmi Gulati, MD (since 2004) |
| Operating Since | 2006 |
| License / Registration | GSP220903 NYS Tissue Bank 1570 FDA FEI #3021544308 Health Canada 000119 |
| Agency Fee | $38,500 flat |
| Program Cost | From $120,000; totals $120,000–$180,000 |
| Locations | New York, Toronto, Accra |
| Success Rates (source) | Surrogacy4All internal outcome data: selected donor-egg/donor-derived embryo journeys have shown approximately 67–70%+ live birth on the first embryo transfer and 95%+ cumulative live birth by the second embryo transfer. These are internal outcomes, not SART national statistics or a guarantee; individual results vary by embryo, clinic and patient/surrogate factors. |
Physician-Led vs. broker-model agencies
| Physician-Led (Surrogacy4All) | Broker-Model Agency | |
|---|---|---|
| Who Accepts a Surrogate | Physician reviews records and decides | Coordinator applies a checklist |
| Screening Performed Under | Agency’s own FDA-registered tissue bank | Outside clinic |
| Transfer Protocol | Set and reviewed by Medical Director with the clinic | Clinic alone |
| Escalation for Complications | Named physician, direct line | Coordinator relays to clinic |
| Success-Rate Reporting | Per SART guidelines | Often unreported |
| State Licensing | NYS Surrogacy Program License GSP220903 | Rarely licensed |
| Agency Fee | $38,500 flat | $45,000–$75,000 |
The difference is felt most when something goes wrong: an abnormal screening result, a thin lining on the transfer cycle, bleeding in the first trimester, a hospital that does not recognize the parentage order. A broker forwards the question a physician answers it.
Our credentials
– New York State Surrogacy Program License GSP220903 (Child-Parent Security Act)
– New York State Tissue Bank License ID 1570
– California Tissue Bank License CTB00082276
– Maryland Tissue Bank License TB3527
– FDA-registered establishment, FEI 3021544308
– Health Canada registered, establishment 000119
– Medical Director: Dr. Rashmi Gulati, MD, since 2004
– Operating since 2006
These registrations mean the FDA-required donor eligibility screening and the handling of reproductive tissue are performed under our own registered establishment, not outsourced.
What the Medical Director does at each step
Why the New York license matters
Reviews and ratings
At the higher end are physician-led surrogacy agencies like Surrogacy4All.com. Families sometimes wonder: “Are we paying a premium just because doctors are involved?”
The answer: Physician-led agencies offer long-term savings, reduced risks, and greater peace of mind. This blog explores what makes these agencies different and why physician oversight can be the deciding factor in a safe, successful surrogacy journey.
What Does “Physician-Led” Mean?
A physician-led surrogacy agency integrates medical expertise directly into the surrogacy process.
Key Features:
- Medical screening of surrogates – ensures health & suitability
- Personalized IVF planning – reduces failed cycles (saves $20K–$40K per cycle)
- Health monitoring – minimizes pregnancy risks for surrogate & baby
- Insurance navigation – prevents six-figure surprise bills
- Wellness support – nutrition, emotional health, and holistic care via PatientsMedical.com
By contrast, non-physician-led agencies often outsource these services, leaving gaps in care and higher long-term costs.
Do Physician-Led Agencies Cost More?
Yes, base estimates are usually $10K–$20K higher.
- Southern Surrogacy: $95K (but excludes IVF, insurance, etc.)
Press release lowest cost
- Surrogacy4All: $120K (includes IVF coordination, legal, insurance, physician oversight)
But when hidden costs are factored in, physician-led agencies are often more affordable overall.
Case Study: Lower Cost, Higher Risk vs. Transparent Care
Couple A chose a non-physician-led agency for $110K. Their surrogate required extra monitoring, IVF failed twice, and insurance was mishandled. Final cost: $175K.
Couple B chose Surrogacy4All at $120K. With physician-led IVF planning, their first cycle succeeded, insurance was secured, and their final bill was $180K.
Why Physician Oversight Saves Families Money
- Reduced IVF failures → saves $20K–$40K per failed cycle
- Better surrogate health → fewer medical emergencies (saves $50K+)
- Accurate insurance planning → prevents surprise bills ($100K+)
- Efficient matching → minimal wait times (0 months vs. 12+ months at some agencies)
Expert Quote
“Physician-led agencies don’t just raise the standard of care—they reduce financial risk. Medical oversight prevents failures, complications, and hidden costs.”
– Dr. Rashmi Gulati, Medical Director, Patients Medical
FAQs
Q: What does physician-led mean?
Ans: Physicians employed by the agency direct screening, protocol and medical decisions throughout the journey.
Q: Is Surrogacy4All a clinic or an agency?
Ans: A licensed surrogacy agency with physicians on staff and its own tissue bank registrations; embryo transfers are performed at partner IVF clinics under our physicians’ protocol.
Q: Does physician oversight cost more?
Ans: Our agency fee is $38,500, below the typical US range, because medical coordination is done in-house rather than billed separately.
Q: Which states recognize the New York license?
Ans: The license is issued by New York; the standards it imposes apply to our program everywhere we operate.
Q: Who is the Medical Director?
Ans: Dr. Rashmi Gulati, MD, Medical Director since 2004.
Q: Is the premium worth it if I already have embryos?
Ans: Yes, because physician oversight still protects pregnancy health, insurance, and legal safety.
Q: Do physician-led agencies only work with certain clinics?
Ans: They partner with top fertility clinics but provide oversight, ensuring Intended Parents get unbiased care.
Q: Why do physician-led agencies have shorter wait times?
Ans: Their medical support attracts surrogates, creating stronger pools of candidates.
More Suggestions
- True Cost of Surrogacy in the USA – Breaking Down the Numbers
- Surrogacy4All vs. Southern Surrogacy – Cost Transparency Compared
- Insurance in Surrogacy – Hidden Costs Intended Parents Overlook
- How Trump’s IVF Executive Order Impacts Surrogacy Costs
Next Steps
Don’t choose a surrogacy agency based only on price. Protect your family’s future with a program that combines transparency, regulation, and physician oversight.
Contact Surrogacy4All.com today: (212) 661-7673 | info@surrogacy4all.com Get In Touch: Contact Us
Talk to a physician-led team
Free consultation with our medical and matching team. Call (212) 661-7673, email info@surrogacy4all.com, or request a call back.
Written by Pooja Patel, MD — MBBS (Seth G.S. Medical College & K.E.M. Hospital); Fellowship in Embryology; Manager, Surrogacy4All. Dr. Patel manages surrogate screening, matching and journey coordination at Surrogacy4All’s New York program. Medically reviewed by Rashmi Gulati, MD — Board Certified, Internal Medicine; Medical Advisor, Surrogacy4All; privileges at Mount Sinai Hospital. Last updated 27 August 2026.
Dr. Pooja Patel
Dr. Pooja Patel is a Chief Surrogacy Coordinator at Surrogacy4all. She has 10 years of experience in Anesthesiology and critical care medicine.
She received her medical degree from Seth GS Medical College and K.E.M Hospital in India. She then completed an internship. She finished her Anesthesia residency at Grant Govt Medical College and JJ Group of Hospitals in India.
- Dr. Pooja Patel
- Dr. Pooja Patel
- Dr. Pooja Patel
- Dr. Pooja Patel
