Written by Pooja Patel, MD — MBBS (Seth G.S. Medical College & K.E.M. Hospital), Fellowship in Embryology, Manager, Surrogacy4All. Dr. Patel manages surrogate screening, matching and journey coordination at Surrogacy4All’s New York program.
Medically reviewed by Rashmi Gulati, MD —
- Board Certified, Internal Medicine
- Medical Advisor, Surrogacy4All
- Privileges at Mount Sinai Hospital
Last updated: [14/09/2026]
Summary
Surrogacy4All runs three programs outside the United States. The Republic of Georgia (Tbilisi, with LeaderMed) has a surrogacy statute that puts the intended parents’ names on the birth certificate and costs well below US levels.
Ghana (Kumasi, with RUMA IVF) is $49,000 all-inclusive under a program our physicians supervise.
Canada (Toronto, with CreateIVF) is altruistic, with expense reimbursement only, and suits families who value Canadian citizenship for the child or who live nearby.
All three use our physician-directed screening and single euploid embryo transfer. Surrogacy4All is NYS-licensed (GSP220903), physician-led, operating since 2006, with US programs from $120,000.
| Fact | Republic of Georgia | Ghana | Canada |
|---|---|---|---|
| Program cost | Per the Georgia fees page, substantially below US totals | $49,000 all-inclusive | Reimbursement of the surrogate’s expenses plus clinic, legal and agency fees, no compensation permitted |
| Eligibility (family type) | Per Georgian law: {current eligibility rule per Form 2 — confirm} | Broad, per program page | Broad; single, same-sex and married intended parents |
| Parentage | Birth certificate in intended parents’ names from the civil registry, no court hearing | Per Ghanaian process on the program page | Declaration of parentage in the province; both parents named |
| Timeline | 14–18 months | Per program page | 15–24 months (altruistic match times vary) |
| Trips | Two typical | Two typical | Two or more, many intended parents drive |
| Stay after birth | Weeks, for passport and exit documents | Per program page | Days, Canadian birth certificate and passport |
| Child’s citizenship | By parents’ nationality; home-country steps apply | By parents’ nationality, home-country steps apply | Canadian at birth, plus parents’ nationality |
| Screening and protocol | Surrogacy4All physicians, single euploid transfer | Same | Same |
Which Program Is Cheapest?
Ghana, at $49,000 all-inclusive.
Georgia is next, well below US totals of $120,000–$180,000 but above Ghana.
Canada is not a low-cost program in the same sense: the surrogate is reimbursed rather than paid, but clinic, legal and agency fees and the longer match time mean total outlay is often comparable to Georgia.
Who is eligible for each ?
Georgia’s statute sets eligibility conditions that have changed over time : the current rule is stated on our Georgia program page and confirmed at consultation.
Ghana’s program is broad. Canada accepts single, same-sex and married intended parents, and Canadian law names both parents through a provincial declaration.
How Do the Legal Outcomes Differ?
Georgia issues the birth certificate directly in the intended parents’ names, with no court step, which is its main attraction.
Canada issues a birth certificate under a provincial parentage declaration, the child is a Canadian citizen.
Ghana’s process is described on the program page.
In every case, taking the child home depends on your own country’s rules, which we plan with a home-country lawyer before transfer.
How Long Does Each Program Take, and How Many Trips?
Georgia: 14–18 months with two trips.
Ghana: Per the program page, with two trips typical.
Canada: 15–24 months because altruistic matching is slower, with visits that many intended parents combine with the border drive.
Match times in our US program, by contrast, are typically 1–3 months.
Which Program Should You Choose?
Cost first: Ghana.
Legal simplicity at the point of birth: Georgia.
Citizenship of a G7 country for the child and proximity for US families: Canada.
Legal certainty before birth and a US passport: the United States.
We run all four and will tell you which fits your family type, budget and passport plans.
Frequently Asked Questions
Q. Which international program is cheapest?
A. Ghana, at $49,000 all-inclusive.
Q. Can a single man use the Georgia program?
A. Eligibility is set by Georgian law, the current rule is on the program page.
Q. Is the Canadian surrogate paid?
A. No. Canada permits expense reimbursement only.
Q. Is the same medical protocol used abroad?
A. Yes, physician-directed screening and single euploid embryo transfer.
Q. Can I use an egg donor with these programs?
A. Yes. Our EggDonors4All and IndianEggDonors programs support all three.
Q. Which is safest legally?
A. Each has a settled route, the US pre-birth order remains the most certain, at the highest cost.
Talk to a Physician-Led Team
Free consultation, in person on Fifth Avenue or by video :
- (212) 661-7673
- info@surrogacy4all.com
- Book online →
Dr. Pooja Patel
Dr. Pooja Patel is a Chief Surrogacy Coordinator at Surrogacy4all. She has 10 years of experience in Anesthesiology and critical care medicine.
She received her medical degree from Seth GS Medical College and K.E.M Hospital in India. She then completed an internship. She finished her Anesthesia residency at Grant Govt Medical College and JJ Group of Hospitals in India.
- Dr. Pooja Patel
- Dr. Pooja Patel
- Dr. Pooja Patel
- Dr. Pooja Patel
Rashmi Gulati
Rashmi Gulati, MD, provides innovative, individualized health care that nurtures mind, body, and spirit. Since 2004 she has been the medical director at Patients Medical, where she delivers comprehensive personalized health care, treating each patient as a respected, unique individual. Through their integrative health care center in the heart of Manhattan, Dr. Gulati and her colleagues have become premier care providers serving patients locally and throughout the world.
- Rashmi Gulati
- Rashmi Gulati
- Rashmi Gulati
- Rashmi Gulati
