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Posted on September 7, 2025

By Dr. Kulsoom Baloch

Dispute Resolution — Mediation vs Arbitration

Dispute resolution in surrogacy refers to the formal processes used when intended parents, surrogates, agencies, or clinics disagree about obligations, boundaries, or contract terms.
In US surrogacy, the two most common tools are:

  • Mediation — voluntary, collaborative, and focused on reaching mutual agreement.
  • Arbitration — binding, more formal, and similar to a streamlined private court process.

These clauses matter because they determine how disagreements are handled, how fast they are resolved, how much they cost, and whether timelines stay intact during pregnancy or after birth.

Who It Helps

You’ll benefit from this section if you are:

  • Intended parents (US or international) worried about delays or conflict during pregnancy.
  • Surrogates wanting clear, fair processes if expectations shift.
  • Agencies/attorneys structuring contracts across multiple jurisdictions.
  • Anyone working in states with differing surrogacy statutes, where dispute frameworks vary.

When to choose a different path:
If you need guidance on parentage laws, insurance, or travel/relocation, refer to the dedicated guides. Those issues require different tools than mediation/arbitration.

Step-by-Step

A simple workflow for how dispute resolution fits into the surrogacy lifecycle:

  1. Contract Drafting
    – Parties choose mediation, arbitration, or both (with escalation steps).
    – State law may influence the availability of binding arbitration.

  2. Triggering an Issue
    – A disagreement arises (expenses, communication boundaries, medical decisions, timelines, travel, expectations).

  3. Early Intervention
    – Agencies or attorneys attempt to resolve informally.
    – 70–80% of issues never escalate when communication is structured.

  4. Mediation (If Triggered)
    – Neutral facilitator guides discussion.
    – Goal: voluntary, mutually acceptable solution.

  5. Arbitration (If Mediation Fails or Contract Skips It)
    – Neutral arbitrator reviews evidence and issues a binding decision.
    – Faster and more private than court, but less flexible.

  6. Implementation and Documentation
    – Agreements recorded and communicated to attorneys, agencies, escrow managers, and clinics.
    – May require contract addendum or escrow adjustment.

Pros & Cons

Mediation

Pros

  • Low cost
  • Fast (days to weeks)
  • Flexible, relationship-preserving
  • Voluntary — no one forced into an outcome
  • Keeps pregnancy on track

Cons

  • Not binding — parties can walk away
  • Requires both sides to participate in good faith

Arbitration

Pros

  • Binding decision — final and enforceable
  • Private (unlike court)
  • Usually faster than litigation
  • Useful when parties cannot agree

Cons

  • More expensive than mediation
  • Less flexible — arbitrator controls the outcome
  • Limited ability to appeal
  • Can strain the surrogate–IP relationship if used mid-pregnancy

Costs & Logistics

Direct costs may include:

  • Mediator fees
  • Arbitrator fees
  • Attorney preparation
  • Contract amendments
  • Escrow adjustments if financial terms change
  • Coordination costs for international IPs (translations, time zones)

Cash-flow considerations:
Mediation is usually paid per session.
Arbitration often requires retainers, which can temporarily hold funds that would otherwise be available for escrow or medical expenses.

Timeline reality:

  • Mediation: typically 3–10 days to schedule
  • Arbitration: 2–6 weeks depending on availability

This can affect transfer dates, pregnancy milestones, and legal filings.

What Improves Outcomes

What actually helps

  • Clear communication frameworks before conflict occurs.
  • Well-defined contract language — especially around expenses, medical decision-making, and communication.
  • Neutral third-party (agency or coordinator) involvement early.
  • Choosing mediators/arbitrators with surrogacy experience, not general family law.
  • Written summaries of agreements after each session.

What rarely helps

  • Trying to “win” a dispute instead of resolving it.
  • Escalating to legal threats too early.
  • Using family-law mediators who don’t understand surrogacy norms.
  • Bringing clinics into legal disputes — they avoid involvement.
  • Letting issues linger because they feel uncomfortable.

Case Study

Expense dispute resolved quickly through structured mediation

An intended parent couple and their surrogate disagreed about reimbursement timing for pregnancy-related travel.
The contract language was vague, and both sides felt unsupported.

What happened:

  1. Agency attempted informal resolution — unsuccessful.
  2. Mediation triggered per contract clause.
  3. A surrogacy-specialized mediator clarified expectations and reviewed receipts.
  4. Parties agreed to:
    – Weekly reimbursements
    – A small escrow adjustment
    – A shared spreadsheet to avoid future misunderstandings

Outcome:
The issue resolved within 72 hours, avoided arbitration, preserved the relationship, and kept prenatal care uninterrupted.

Mistakes to Avoid

  • Skipping mediation in the contract — it’s the cheapest, fastest tool you have.
  • Using general arbitrators unfamiliar with surrogacy — leads to poor decisions.
  • Not specifying where arbitration occurs, especially in cross-state or international cases.
  • Letting disputes delay medical care — escalate early.
  • Assuming the agency can “decide” — they cannot. Only mediators or arbitrators can.
  • Putting vague reimbursement or communication expectations in the contract — always leads to conflict.

FAQs

Q. Is arbitration legally binding?

Ans : Yes. Arbitration decisions are enforceable in most states and difficult to overturn.

Q. Can you skip mediation?

Ans : You can, but it’s rarely wise. It saves time, money, and relationships.

Q. Who pays for mediation or arbitration?

Ans : Typically shared, but the contract can allocate costs differently.

Q. Can disputes be handled across states?

Ans : Yes — contracts specify jurisdiction and governing law.

Q. Do clinics participate in mediation?

Ans : No. They provide medical guidance only, not legal dispute resolution.

Next Steps

  • Free 15-min nurse consult
  • Upload labs for a personalized pathway
  • Get a state-specific cost breakdown for your surrogacy case

Related Links

Dr. Kulsoom Baloch

Dr. Kulsoom Baloch is a dedicated donor coordinator at Egg Donors, leveraging her extensive background in medicine and public health. She holds an MBBS from Ziauddin University, Pakistan, and an MPH from Hofstra University, New York. With three years of clinical experience at prominent hospitals in Karachi, Pakistan, Dr. Baloch has honed her skills in patient care and medical research.

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