Surrogacy in India

Who should use Surrogacy in India?

Surrogacy in India used to be available for all, offering a unique alternative for both married couples as well as single men & women, who were seeking low cost accessible surrogacy.

It is estimated that it was a $400 million per year marketplace. We proudly sent many Intended Parents to India until 2015. In 2015, the Government of India restricted pregnancy to Indian Nationals only.

If you are an Indian National residing in India, or outside India with an Indian Passport, please continue to read on this page for surrogacy options still available to you.

Expected Changes in Surrogacy Laws in India:

There is a bill before the Indian Parliament that would ban all commercial surrogacy — even for Indian couples. Couples, whether, married or not, who want to have a surrogate baby would need to meet a stringent set of criteria, including how long they’ve been married and proving other infertility treatment hasn’t worked. Basically, making surrogacy available only to married couples. Plus, their surrogate would have to be a close relative, doing it out of pure altruism.

Surrogacy for Single Men and Women and LGBT couples will be banned completely.

The Lok Sabha has already voted to end all commercial surrogacy in India and sent it to the Raj Sabha for vote. However, due to the new elections in May 2019, the proposed surrogacy law changes in India lapsed with the elections, and nothing will happen until the bill is reintroduced in the Lok Sabha soon.

This gives you a short but adequate window to get your surrogacy done in India.

So, if you are a married couple and an Indian National and want to do surrogacy in India, we urge you to proceed now before the law changes.

Surrogacy Options for Indians Residing outside India

If you reside outside India, keep in mind the baby born will be an Indian Citizen, and you will have to apply for a visa at the US Embassy to bring the baby out of India.

 As of July 2017, single men and women cannot have a surrogate baby in India.

But we can help! Please call us at -1-212-661-7673 for more information and forms to do surrogacy in India read below for your options.

Surrogacy Options for Indians Residing in India Once the new Legislation is Passed:

India has already banned sex selection as well as commercial surrogacy for Single men and women, as well as LGBY couples

Fortunately, surrogacy options continue to be available in countries outside India. We are the largest Indian owned Egg Donor and Surrogacy Agency outside India, and work extensively with Indians in India as well as other countries around the world to help them have a surrogate mother carry the baby for you. See our sister website, for more details.

Services we can provide you Outside India:

Step 1:

Sperm collection and shipping overseas:

You do not have to travel outside India to give a sperm sample, unless you want to. Instead you can collect the sperm and freeze it at an IVF Clinic near your home, and we will arrange for a carrier to hand carry it for you by air to our Surrogacy center outside India.

Step 2:

Select an Egg Donor:

We offer both frozen eggs and fresh egg donors of Indian and Caucasian origin outside India. To select a donor you like, please open a free account on our website and search through the database of over 1,000 donors we have listed. Then send us an email wit your top five choices. We will then send you detailed profiles on them, for you to help finalize your choices.

Step 3:

Decide which country you want to do surrogacy in.

We offer surrogacy in both the USA and Ghana. To help you choose, you can read about them on:

Surrogacy in the USA at

Surrogacy in Ghana at

Step 4:

Choices we can offer you:

Sex Selection:

Many Intended Parents have preference whether they want a Son or Daughter. To give you this option, the IVF Centers we work with do PGS on your embryos after they are created. Then the embryo of your sex choice is inserted in the surrogate mother to carry for nine months


USA Surrogacy: A baby born in the USA, will automatically be a USA Citizen by birth, even if you are an Indian national

Ghana Surrogacy: A baby born in Ghana, will have your citizenship. For example, if you are an Indian national, the baby born will be an Indian national.

Step 5:

Selection of surrogate:

Many Intended parents ask if the baby will be black if carried by a black surrogate. The answer is that the ethnic background of the surrogate has no effect upon the ethnicity of the baby.

Surrogacy in the USA is not anonymous. You and the surrogate know each other’s identity ad can communicate during and after the surrogate process.

After pregnancy the surrogate lives at home, but sings an agreement to not drink smoke, or take drugs during the pregnancy. Success rates are around 50%.

Surrogacy in Ghana is anonymous: You don’t know the surrogate’s identity. She doesn’t know who you are. The medical clinic does the selection. The benefit is that since the clinic does the selection, if the first try fails the second try is provided free of charge, assuming embryos are available to implant.

After pregnancy in Ghana, the surrogate lives in a dormitory near the clinic with other surrogates. Her food, nutrition and medical needs are provided, to help ensure a successful pregnancy. During this time, she cannot drink, smoke, take drugs or have sex, to maximize the success rate of the pregnancy. It is running about 70%.

Step 6:

The Pregnancy:

During the first six weeks the surrogate is monitored by the IVF doctor. At the end of six weeks, the IVF Physician generally does a handoff to her Gynecologist, whom then monitors the surrogate through the pregnancy. At the end of the pregnancy, the surrogate then is referred to an Obstetrician for delivery of the baby.

During the pregnancy process, we will send you monthly reports of how the surrogate is doing. If you have any questions or concerns, we are here to help you address them as needed.

Step 7:

Legal issues:

In the USA, California is the State with the laws most in favor of the Intended Parent. Hence, we recommend your surrogate be born under California law. To make this work, the embryo preferably must be implanted in the surrogate in California and baby delivery preferably should be in California. We work closely with IVF Clinics in the Los Angeles area, that we would recommend to you to use.

We will also refer you to excellent legal counsel to handle all he paperwork.

In Ghana, the IVF Center is a major women’s hospital and provides the IVF, Gynecologist and Obstetrician services as part of your surrogacy package.

Step 8:

Birth of the Baby:

So now the best part and your baby is about to be born!

It is recommended you arrive the Hospital a couple of days before the baby is delivered, so you can witness the baby being bor. A soon as the baby is born, the Nurse wraps it in towels and gives it to you to hold. You are now the proud parents of this newborn bundle of joy!

The baby is then taken to a different floor in the hospital to the NICU, Newborn Intensive Care Unit, for cleanup and a physician examination, to ensure the baby is fine.

This takes a couple of days, after which you can take the baby home!

Step 9:

Bringing the baby Home:

In the USA after the baby is born certain legal papers must be filed and a USA Social Security number, and USA Passport must be issued for the baby. Allow 2 to 4 weeks for this to happen.

In Ghana, after the baby is born, a DNA Test is done using a Saliva sample, to confirm the baby is yours. If you are an Indian citizen, the Indian embassy in Ghana will then issue the baby an Indian passport to bring the baby to India


  • Singleton pregnancy $39,000 in both India and Ghana, versus $105,000in USA
  • Twin pregnancy additional cost $5,000

Please note: Costs assume that you have embryos available to transfer for the surrogate to carry. 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 parent’s travel expenses and local legal procedures at the parents’ country of origin.

What kind of facilities are available in India for Surrogacy?

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

New Delhi, India population of about 10 million, is a modern-day city with Skyscrapers, International Airports, Modern Hospitals, Marriott’s and other major Hotels. The election of Mr. Modi as Prime Minister 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 such as, treatment of gynecological conditions, antenatal care and delivery, advanced and urological services.

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 rate 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 mother 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 

PATIENT PREPARATION: Careful and meticulous patient preparation during which all the relevant tests are carried for the woman and her husband/partner before the actual treatment starts. This preparation is key to successful treatment!

 CONTROLLED OVARIAN STIMULATION (COS)  During IVF treatment the doctor or physician needs a good number of quality eggs to fertilize them with the sperms 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.

EGG HARVESTING OR RETRIEVAL: When the eggs are matured, the woman is taken to the operating theatre where the eggs are harvested. The male parent will also provide sperms the same day for the fertilization to be done. In many cases, the male partner provides sperms for freezing before the harvesting of the eggs.

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

INCUBATION IN THE IVF LAB: The fertilized eggs are now allowed to grow in the IVF laboratory for 3-5 days. In Ruma Fertility and Specialist Hospital we normally transfer the embryos on day 5 but sometimes we transfer them on day 3

EMBRYO TRANSFER: This is the last but most critical stage of the IVF process. The doctor selects one or two embryos and carefully puts them back into the womb or uterus of the woman.

LUTEAL SUPPORT: 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.

Do you do PGD/PGS?


Yes, we do PGD/PGS. Pre-implantation genetic diagnosis/screening (PGD/PGS) refers to the testing or screening of the embryos to detect abnormalities before they 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 doing this is that the baby/babies are not likely to have abnormalities and the pregnancies rates are higher because 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, Couples who are both carriers of the sickle cell gene, this way they can avoid having a child with sickle cell disease.

PGS is also used for sex selection. However, sex selection is illegal in India and is no offered to Intended Parents.

Tell me about your Surrogacy Process?

Surrogacy means transferring the embryos into the womb for another woman to carry the pregnancy for a couple in which the woman herself cannot carry the pregnancy.

Some of the reasons why another woman carries the pregnancy a couple are when the woman who wants a child has not got a womb, has a serious illness which will make it impossible or risky for her to become pregnant or has a genetic condition which can be transferred to 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 India 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 a very 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 a very 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 help with Egg donation?

We also have a large pool of frozen egg available for your selection.

Egg donation costs are additional and can vary. We recommend a complete package including donor and IVF for $12,000. This includes, travel, medication and all other costs.

Suggest look 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. 
Our standard package includes delivery in a self-contained ward

How Do I travel to India?

From the USA, Air India has a direct 14-hour Nonstop flight from Kennedy airport into New Delhi. We recommend it.

For staying in Delhi, we like the Hyatt. It is near the hospital and clinics, reasonably priced and offers facilities like most American Hotels.

Suggest also look at Expedia, or other websites for travel options.


How many times do I have to go to India?

We recommend two trips:

You can go initially to see the center, get comfortable, and to give a couple of fresh sperm samples, which are then tested, frozen and stored.

Your second trip is about nine months later to pick up you 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 are here to help you on your journey to being a parent

Please call us at 1-212-661-7673 and we will be happy to answer any questions you have, as well as send you the necessary paperwork to help you have your baby!