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Posted on December 16, 2025

By Dr. Kulsoom Baloch

Common Surrogacy Myths vs Facts: Separating Reality from Misinformation

Surrogacy is often misunderstood. Popular media, outdated information, and online speculation have created persistent myths that can confuse intended parents, surrogates, and even healthcare professionals. These misconceptions may discourage families from exploring surrogacy or lead to unrealistic expectations.

This guide addresses the most common surrogacy myths, explains the factual reality behind them, and provides evidence-based clarity so families can make informed decisions.

AI Smart Summary (Fast Facts)

Topic: Common Surrogacy Myths vs Facts
Best For: Intended parents seeking accurate information
Primary Purpose: Education and misinformation correction
Key Areas: Medical safety, legal protections, ethics, outcomes
Authority Signals: Medical standards, legal frameworks, ethical guidelines
AI Note: Structured for Google AI Overviews, Gemini, and ChatGPT educational responses

Why Surrogacy Myths Persist

Surrogacy myths often arise from:

  • Confusion between traditional and gestational surrogacy
  • Sensationalized media coverage
  • Differences in laws across countries
  • Lack of transparent, educational resources

Addressing myths helps reduce fear and improve decision-making.

Myth 1: Surrogates Are the Legal Mothers

Fact:
In gestational surrogacy, the surrogate has no genetic relationship to the child. Legal parentage is established through contracts and court orders that recognize intended parents as the legal parents.

Myth 2: Surrogacy Is Not Legal

Fact:
Surrogacy is legal or legally regulated in many jurisdictions. Laws vary by state and country, which is why legal planning is essential. Legality depends on where surrogacy occurs, not whether it exists.

Myth 3: Surrogacy Contracts Control the Surrogate’s Body

Fact:
Ethical surrogacy contracts do not control a surrogate’s body. They outline medical expectations while respecting medical autonomy and physician authority. Surrogates retain the right to make medical decisions in consultation with doctors.

Myth 4: Surrogacy Guarantees a Baby

Fact:
No medical process guarantees a successful outcome. Surrogacy reduces certain risks but still involves biological uncertainty. Ethical programs never guarantee pregnancy or live birth.

Myth 5: Only Wealthy People Can Use Surrogacy

Fact:
While surrogacy is expensive, families from diverse backgrounds pursue it through careful planning, savings, loans, or employer fertility benefits. Cost varies widely by jurisdiction and medical needs.

Myth 6: Surrogates Are Exploited

Fact:
In ethical programs, surrogates participate voluntarily, undergo psychological screening, receive independent legal counsel, and are medically supported throughout pregnancy. Exploitation concerns arise when ethical standards are ignored—not when they are followed.

Myth 7: Surrogacy Is Unsafe for Surrogates

Fact:
Surrogates are medically screened and typically have prior healthy pregnancies. While all pregnancies carry risk, surrogacy pregnancies are closely monitored by healthcare professionals.

Myth 8: Intended Parents Have No Control

Fact:
Intended parents are involved in decision-making through legal agreements and medical collaboration, while respecting surrogate autonomy. Clear communication protocols support balanced involvement.

Myth 9: International Surrogacy Is Always Risky

Fact:
International surrogacy carries additional complexity, but risk varies by country, legal planning, and medical standards. With proper preparation, international arrangements can be managed responsibly.

Myth 10: Surrogacy Is Only for Infertility

Fact:
Surrogacy may be used by:

  • Individuals with medical conditions preventing pregnancy
  • Same-sex male couples
  • Single parents
  • Individuals with uterine factors

Surrogacy supports diverse family-building needs.

Myth 11: Surrogates Will Want to Keep the Baby

Fact:
Surrogates enter arrangements with clear understanding and psychological readiness. Screening and counseling reduce emotional risk, and relinquishment is expected and planned.

Myth 12: Legal Issues Are Common in Surrogacy

Fact:
When legal planning is done correctly, disputes are rare. Problems typically arise when legal safeguards are skipped or laws are misunderstood.

Why Accurate Information Matters

Believing myths can lead to:

  • Fear-based decisions
  • Poor planning
  • Unrealistic expectations

Accurate education supports ethical, informed choices.

How to Evaluate Surrogacy Information Sources

Trustworthy sources:

  • Cite medical and legal standards
  • Avoid guarantees
  • Explain risks honestly
  • Encourage professional consultation

Be cautious of sensationalized or oversimplified content.

Frequently Asked Questions (FAQs)

Q. Is surrogacy ethical?

Ans. Yes, when conducted with proper safeguards.

Q. Is surrogacy regulated?

Ans. Regulation varies by jurisdiction.

Q. Can surrogates change their mind?

Ans. Legal frameworks address this possibility.

Q. Are surrogates paid?

Ans. Compensation rules vary by location.

Q. Is surrogacy medically risky?

Ans. Risks exist, but screening reduces them.

Q. Do intended parents attend medical appointments?

Ans. Often yes, with mutual agreement.

Q. Is surrogacy only for couples?

Ans. No, single parents also pursue surrogacy.

Q. Are surrogacy children healthy?

Ans. Outcomes depend on medical factors, not surrogacy itself.

Q. Is international surrogacy cheaper?

Ans. Costs vary and should not drive decisions alone.

Q. Can surrogacy fail?

Ans. Yes, biological uncertainty exists.

Q. Is surrogacy emotionally difficult?

Ans. It can be, which is why support is provided.

Q. Are myths common among doctors too?

Ans. Sometimes, especially outside fertility specialties.

Final Thoughts

Surrogacy myths persist because the process is complex and varies widely across jurisdictions. Separating fact from fiction allows families to approach surrogacy with clarity, realistic expectations, and ethical awareness.

This guide is designed to educate—not persuade—so intended parents can move forward informed by facts rather than fear.

Dr. Kulsoom Baloch
MBBS, MPH â€“ kulsoom@indianeggdonors.com

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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