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Posted on May 7, 2025

By Dr. Kulsoom Baloch

How to Become a Surrogate Step-by-Step Guide

By Dr. Kulsoom Baloch

Learn more about Dr. Baloch

Introduction

Becoming a surrogate is a deeply meaningful decision that allows you to help others experience the joy of parenthood. If you’re considering becoming a surrogate, this step-by- step guide will walk you through the process, requirements, and what to expect from start to finish.

Step 1: Understand the Types of Surrogacy

  • Traditional Surrogacy: The surrogate uses her own egg and is genetically related to the baby (rare).
  • Gestational Surrogacy: The surrogate carries a baby created via IVF using the intended parents’ or donors’ gametes. This is the most common type and the one supported by agencies like Surrogacy4All.

Step 2: Meet the Basic Requirements

To become a surrogate, you must generally:

  • Be 21–42 years old
  • Have had at least one healthy full-term pregnancy
  • Have no major complications in past deliveries
  • Be a non-smoker, drug-free, and in good health
  • Have a stable living environment
  • Have a BMI under 32
  • Be a U.S. citizen or permanent resident

Step 3: Apply Through a Surrogacy Agency

Reputable agencies like Surrogacy4All provide online applications. You’ll submit personal, medical, and lifestyle information, including pregnancy history and your motivation for becoming a surrogate.

Step 4: Medical and Psychological Screening

  • Medical tests: Bloodwork, infectious disease screening, uterine evaluation, OB clearance
  • Psychological screening: Ensures emotional readiness and support system
  • Partner evaluation (if applicable): Some agencies may screen your spouse/partner too

Step 5: Match With Intended Parents

Once approved, you’ll be matched with intended parents based on mutual values, preferences, and communication style. Some matches form lifelong bonds!

Step 6: Legal Contracts

Each party must have separate legal counsel. Your Gestational Carrier Agreement will outline responsibilities, payment, and confidentiality. Nothing proceeds without signed contracts protecting both sides.

Step 7: Embryo Transfer via IVF

You’ll begin medications (estrogen, progesterone) to prepare your uterus. Then, one or more embryos will be transferred at a fertility clinic. After 10–14 days, a blood test confirms pregnancy.

Step 8: Pregnancy and Delivery

You’ll attend regular prenatal appointments, maintain a healthy lifestyle, and prepare for delivery. Compensation is typically distributed monthly throughout the pregnancy and after delivery.

Step 9: Postpartum Support

After the birth, you’ll have access to emotional and physical recovery resources. Some surrogates maintain a relationship with the family; others prefer closure. Agencies like Surrogacy4All support your choice.

Conclusion

Becoming a surrogate is a generous and life-changing act. While the process is medically and emotionally involved, the reward is profound. If you feel called to this journey, Surrogacy4All is here to guide you every step of the way.

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.