Surrogacy in Ghana: Cost and Process

Welcome to Surrogacy in Ghana Your Affordable and Legally Secure Surrogacy Journey

If you are considering surrogacy, Ghana offers a unique and affordable option. Surrogacy is popular in Ghana. It provides intended parents with an affordable and legally secure journey.

Surrogacy in Ghana has different costs, legal aspects and pros and cons compared to the USA. Here is an overview of all these factors. 

Overview Ghana is a surrogacy-friendly country, with clear and favorable surrogacy laws and regulations. Ghana has a growing surrogacy industry and experienced medical professionals who are familiar with surrogacy procedures. Surrogacy in Ghana is also typically more affordable than in the United States, making it an attractive option for intended parents.

Costs: Among the lowest worldwide: $49,000 for a surrogate to carry an embryo through baby delivery.

The cost of surrogacy in Ghana can vary. This is due to numerous factors, such as medical procedures, agency fees and compensation for the surrogate expenses. The cost of surrogacy in Ghana is cheaper than in the US. Intended parents can save a substantial amount of money, sometimes up to tens of thousands of dollars.


Please note: Costs are all inclusive and cover all medical and delivery procedures, as well as the surrogate’s and the baby’s hospitalization, but exclude some medical complications. No additional expenses are expected, except parents’ travel expenses and local legal procedures at the parents’ country of origin.

Costs include:

Legal Aspects

Surrogacy in Ghana is governed by laws and regulations. These laws protect the rights of intended parents and surrogate mothers.

They are clear and favorable. Surrogacy contracts are legally binding in Ghana, and intended parents can obtain birth certificates for their children without any legal complications. Ghana also recognizes the intended parents as the legal parents of the child born through surrogacy.

Pros and Cons

Surrogacy in Ghana has many advantages over the United States. One of these is a more favorable legal landscape.
Additionally, it is also less expensive. Surrogacy in Ghana is legally secure. 

The laws and regulations are clear and protect the rights of intended parents and surrogate mothers. The cost of surrogacy in Ghana is often lower than in the US.
Therefore, it is an economical choice for intending parents.

However, there are also potential drawbacks to surrogacy in Ghana. The availability of certain medical procedures may be more limited in Ghana compared to the United States. Additionally, intended parents may face logistical challenges such as international travel and customs.

Surrogacy in Ghana is popular and attractive for intended parents. It is more affordable and legally secure than other available options. In conclusion, it is an excellent choice for those looking to embark on a surrogacy journey.

Are you interested in surrogacy in Ghana? Contact us to learn more about our services. We can help you realize your dream of parenthood.

What kind of facilities are available?

Many of us have a mental image of Ghana being mud huts and Elephants. Yes, they are there, but the IVF Centers you will use is far removed from this image.

Accra, Ghana population of about 2.5 million, is a modern-day city with Skyscrapers, International Airports, Modern Hospitals, Marriott’s and other major Hotels. The discovery of Oil in Ghana has accelerated the westernization of the country.

Tell Me about the IVF Clinic, Hospital and Medical Procedure?

The Hospital you will use is a state-of-the-art specialist hospital primarily focused on provision of world class infertility treatment services as well as other specialist services, including as antenatal care and delivery, treatment of gynecological conditions, advanced urogynecology and urological services. 

The Hospital started assisted conception treatment in 2012 and has quickly become a national and regional leader in the provision of assisted conception services in the Ghana sub-region. We were the recipients of the best assisted conception award in 2016.

With over 100 medical staff, the Center presently does over 500 IVFs and surrogacies every year. The equipment is from the United States and Europe and the center operates to American FDA standards.

The success rates meet or exceed those of American IVF Centers. It must however be understood that the age of the woman is a main determinant of successful treatment.

Older women have lower success rates compared with younger women. Generally, the success rates are excellent if IVF is done before 35 years. After 35 years, the success rates progressively decline. After 40 years the success rate of IVF is so low that we will normally recommend the use of donor eggs in most cases.

After 45 years of age, we recommend both donor eggs and a surrogate to avoid issues in pregnancy. These include Preeclampsia, a sometimes-deadly condition of pregnancy marked by high blood pressure and protein in the urine. Often when a mother has preeclampsia, the baby needs to be delivered prematurely to save the lives of mother and baby.

What is included in the IVF ?

Our assisted conception services include in vitro fertilization with embryo transfer IVF-ET, intra-cytoplasmic sperm injection (ICSI), intrauterine insemination IUI, egg donation, sperm donation, surrogacy, pre-implantation genetic diagnosis and screening (PGD & PGS).


For a Successful IVF Treatment, the Following Steps Are Performed During the Treatment



Patients must be thoroughly prepared before treatment begins. All relevant tests must be conducted on the woman and her partner. Preparation should be done with care and attention to detail. This preparation is key to successful treatment! (“ASSISTED CONCEPTION SERVICES – Ruma Fertility Hospital”)



Controlled ovarian stimulation (COS) is an important part of IVF treatment. The doctor or physician needs a sufficient number of high-quality eggs.

These eggs can then be fertilized with the sperm of the woman’s husband or partner. To do this the woman is given some injections to produce enough eggs. Normally it takes about 14 days for this to be completed.



During IVF treatment the doctor or physician needs a suitable number of quality eggs to fertilize them with the sperm of the woman’s husband /partner. To do this the woman is given some injections to produce enough eggs. Normally it takes about 14 days for this to be completed.



The woman is taken to the operating theatre when her eggs are mature. This is when egg harvesting or retrieval takes place. At Ruma Fertility Hospital, assisted conception services are available. The male parent must provide sperm on the same day for fertilization to take place. In many cases, the male partner provides sperm for freezing before the harvesting of the eggs.



This means that the eggs are fertilized with the partner’s/husband’s sperm by putting them together in a special dish or by injecting the sperm into the eggs (ICSI)



 The fertilized eggs are now allowed to grow in the IVF laboratory for 3-5 days. At Ruma Fertility and Specialist Hospital, they typically transfer embryos on day 5. However, there are times when they transfer them on day 3.



This is the last but most critical stage of the IVF process. Ruma Fertility Hospital offers assisted conception services. The doctor will select one or two embryos to be placed back into the woman’s womb or uterus.



The woman continues to take medication known as luteal support up to the pregnancy test. The pregnancy test is done 2 weeks after the embryo transfer. This marks the end of the IVF cycle.

Dr. Rudolph Kantum Adageba


Hon Consultant,Endocrinology and Infertility
Medical Director and Head, Ruma IVF
Lecturer, School of Medical Sciences/Kwame Nkrumah University of Science and Technology

Komfo Anokye Teaching Hospital, Ghana

Do you do PGD/PGS?


Yes, we do PGD/PGS. Pre-implantation genetic diagnosis/screening (PGD/PGS) is a process that involves testing or screening embryos. This is done to detect abnormalities before the embryos are transferred into the womb (uterus).

Small pieces of the embryos (called biopsies) are taken with a laser machine and sent to the laboratory for testing. This ensures that only normal embryos are transferred into the uterus.

The main advantage of this is twofold. Firstly, the baby/babies are less likely to have abnormalities. Secondly, the pregnancy rates are higher as normal embryos are transferred.

Some of the reasons why PGD/PGS is done include older women more than 35 years undergoing IVF because they tend to have a higher risk of abnormal embryos, and couples who are both carriers of the sickle cell gene. This way they can avoid having a child with sickle cell disease.

Tell Me about Your Surrogacy Process

Surrogacy is a process in which embryos are transferred into the womb of another woman. She carries the pregnancy for a couple in which the female partner cannot do so.

There are several reasons why a couple may choose another woman to carry a pregnancy. These reasons include:

  • The woman who wants a child may not have a womb.
  • She may have a serious illness that makes it impossible or risky for her to become pregnant.
  • She may have a genetic condition that can be transferred to the child.


It should be clearly understood the woman who is carrying the pregnancy has no genetic connection with the child. This is because the eggs did not come from the woman carrying the pregnancy. She is therefore only acting as a carrier of somebody else’s pregnancy.

Who are your Surrogates?

Surrogates in Ghana are local females, mostly in their 20’s who have had at least one child of their own. All surrogates undergo meticulous screening, blood work, and medical tests prior to the process.

Once the Surrogate is pregnant, she lives for the length of her pregnancy at an extremely comfortable ranch house which was a former family residence, about a 10-minute walk from the hospital. She shares a room with another surrogate. The home has a fully equipped kitchen with a cook where all meals are provided, a TV and an extremely comfortable Living Room, as well as a Resident Nurse to monitor the surrogates and help with any pregnancy related issues.

How do you do Pregnancy monitoring & Delivery?

Pregnancy monitoring will be done at the modern new hospital. The pregnancy protocol is strict, and will include monthly ultrasounds, nuchal translucency, GTT, Anomaly scans etc.

How about Helping with Egg Donations?

Intended parents have two options for donors. They can choose a local donor or an Eastern-European donor. The Eastern-European donor would need to travel to the Center for the egg’s extraction. Many intended parents choose an American donor from our donor databases.

All donors go through extensive screening, bloodwork, and medical tests. Profiles include pictures and information about
the donor’s health and characteristics. The donor’s eggs are then used to create embryos in the USA, and the frozen embryos are
shipped to Ghana. We also have a large pool of frozen eggs available for your selection.

Egg donation costs vary. A local donor will cost $4,000, while a Caucasian donor from Ukraine or Ghana will cost $12,000. An American donor can cost up to $20,000. Travel costs for the donor are extra.

We suggest looking at using frozen eggs. We can help provide those at reasonable prices.

How Do You Handle Delivery of My Baby?

We provide hospital delivery. There is a range of delivery options that couples can choose
from. These include:

So How Do I Bring My Baby Back to the USA?

Legal Services

We have a local attorney available who will help you with all legal work which will include a contract between the intended parents and the surrogate as well as registering the baby immediately after birth. Legal services include coordinating all paperwork with the USA Embassy in Accra and getting a USA passport issued for the baby.

We suggest you start the legal process at least two months before the baby is due. Otherwise, you may have a 2 to 3 week delay getting an appointment at the USA Embassy, getting the DNA test done to verify paternity, etc.

Legal costs are typically about $500 for legal fees plus any fees the USA Embassy charges for issuing the passport and DNA Testing.

How Do I travel to Ghana?

From the USA, Delta has a direct 11-hour Nonstop flight from Kennedy airport into Ghana. We recommend it.

Most Hotels in Ghana have a free pickup service at the airports.

Suggest also look at Expedia, or other websites for travel options. You may also want to use your waiting time in Accra to do some tourism or go to a forest preserve. There are plenty of opportunities to travel and explore the area.

Accra is the capital of Ghana, on the Atlantic coast of Ghana. Makola Market is the city’s vast, colorful bazaar. Popular seafront spots Labadi Beach and Kokrobite Beach offer golden sand and high-energy nightlife. (“AFROCHELLA 2023 | Melanin Globe”)

How Many Times Do I Have to Go to Ghana?


With One Trip

We can send you a collect-at-home sperm kit. You collect the sperm at home. It is then mailed by you to a USA-based sperm bank. The sperm is then processed, frozen, and then shipped using hand courier to the IVF Clinic. Your first trip is about nine to twelve months later to pick up your baby. Allow about two to three weeks for this.

With Two Trips


Go to the center initially to get comfortable. Give a few fresh sperm samples. The samples will be tested, frozen, and stored.

Your second trip is about nine to twelve months later to pick up your baby. Allow about two to three weeks for this.

My Sperm Count Is Low. Any Suggestions Before I Give a Sample?

Many men will benefit by taking supplements before sperm donation. Our Holistic and Integrative Physicians recommend the following supplements for your use .

Supplements Recommended

To order these supplements, please go to our shopping cart at Or call 1-212-794-8800 to place an order.

We offer several different surrogacy options including:

Surrogacy Options Overseas

Other Surrogacy Options Overseas