Top Questions to Ask Your Surrogacy Agency Before You Sign

Choosing a surrogacy agency is one of the most meaningful decisions for intended parents. The right agency will guide you through emotional, medical, financial, and legal steps—while offering full transparency and protection. Before you commit, it’s important to ask the right questions so you know exactly what you’re signing up for.

Here is a comprehensive guide to the top questions every intended parent should ask before signing with any surrogacy agency.

What Services Are Included in Your Program?

Every surrogacy agency structures its services differently. Ask for a detailed list of everything included, such as:

• Surrogate recruiting and screening
  
• Matching services
  
• Case management
  
• Legal coordination
  
• Psychological support
  
• Insurance review
  
• Travel arrangements
  
• Egg/sperm donor services (if needed)
  

A transparent agency will give you a full breakdown with no hidden surprises.

How Much Does Surrogacy Cost, and What Is Not Included?

Surrogacy programs vary widely, anywhere from $80,000 to $200,000+ depending on location and services.

Ask specifically:

• What is included in the base fee?
  
• Are surrogate compensations separate or included?
  
• Are medications, IVF, and embryo transfers included?
  
• Are legal fees included for both sides?
  
• What extra costs may arise (twins, C-section, lost wages, insurance gaps)?
  

Request a line-item financial estimate, not a rough range.

How Do You Screen Surrogates?

This is one of the most critical questions.

A reputable agency will require:

• Comprehensive medical evaluations
  
• OB/GYN records and history review
  
• Psychological assessment
  
• Background checks
  
• Lifestyle and home environment review
  
• Previous uncomplicated pregnancy/birth
  

This ensures you are matched with someone emotionally and medically fit for surrogacy.

How Do You Match Intended Parents with Surrogates?

Ask how the agency creates successful matches:

• Is matching based on values, personality, expectations, and communication style?
  
• How long is the typical matching timeline?
  
• Can you turn down a match without penalties?
  

A good match reduces stress and helps ensure a positive journey.

What Legal Protections Do You Provide?

Surrogacy laws vary across countries and states.

Ask:

• Do you provide independent attorneys for surrogate and intended parents?
  
• Does your legal team handle parentage orders?
  
• Is the contract drafted to protect parental rights and responsibilities?
  

Never partner with an agency that uses vague or outdated legal practices.

How Do You Handle Insurance and Medical Bills?

Surrogacy medical costs can be complicated.

Ask:

• Do surrogates have their own maternity insurance?
  
• Will additional insurance be needed for complications?
  
• Who handles billing and hospital negotiations?
  

A professional agency always reviews insurance line-by-line before clearing a match.

How Will You Communicate Throughout the Process?

Good communication prevents confusion and delays.

Ask:

• Do you get a dedicated case manager?
  
• How often will you receive updates?
  
• Is communication available via WhatsApp, email, calls, or portal?
  
• Who handles emergencies?
  

Agencies with structured communication systems offer smoother journeys.

What Is Your Success Rate?

This should include:

• Number of successful matches per year
  
• Embryo transfer success rates
  
• Live birth success rates
  
• Reasons for match fall-throughs
  

Agencies with experience and transparency will share real, verifiable data.

What Happens if the Surrogate Does Not Get Pregnant?

Understand your options:

• Do they offer multiple transfers?
  
• Are rematching fees included or extra?
  
• What refund policies exist for early termination?
  

This helps you plan financially and emotionally.

What Makes Your Agency Different from Others?

Every reputable agency should be able to explain:

• Their experience
  
• Unique screening processes
  
• Support systems
  
• Legal strength
  
• International support
  
• Ethical standards
  

If an agency cannot answer clearly, it’s a red flag.

Frequently Asked Questions (FAQs)

Q. How do I know if an agency is reputable?

Ans : Look for licensing, transparent pricing, verified success stories, experienced staff, and strong legal support. Avoid agencies that give vague answers or avoid sharing real data.

Q. Should the surrogate have her own lawyer?

Ans : Yes. Ethical agencies always ensure both parties have independent legal representation to protect everyone’s rights.

Q. How long does it take to match with a surrogate?

Ans : Depending on availability and criteria, matching can take 1–6 months. Good agencies never rush or force matches.

Q. Can international parents start surrogacy?

Ans : Yes, many agencies welcome international parents. Just ensure they provide legal guidance for your home country.

Q. What is the most important question to ask?

Ans : The most important is: “What exactly is included in your program fees?”

This helps you avoid hidden costs and unexpected fees later.