Surrogacy4All is New York’s physician-led surrogacy agency — the only one where a board-certified reproductive specialist oversees every step, from surrogate screening to delivery. Full programs from $120,000. LGBTQ+ and international families welcome since 2006.
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Surrogacy4All is a physician-led agency licensed by New York State (Surrogacy Program License GSP220903) and FDA-registered (FEI 3021544308). We match intended parents and surrogates across the United States, including Georgia. Your surrogate is screened under our physician-directed protocol at a partner IVF clinic; her prenatal care is with her own OB in Georgia; delivery is at a Georgia hospital experienced with surrogacy births; and your parentage order is obtained by a Georgia attorney. Our team in New York coordinates every step, and our Medical Director is the escalation point for any medical question during the pregnancy.
New York’s licensing law sets standards — independent counsel for the surrogate, escrow, insurance, medical screening, Department of Health oversight — that we apply to every match regardless of where the surrogate or the parents live. A Georgia intended parent working with us gets those protections plus our flat $38,500 agency fee, which is below the fees typically charged by Georgia agencies.
Surrogacy4All is a physician-led, NYS-licensed (GSP220903), FDA-registered (FEI 3021544308) surrogacy and egg-donation agency operating since 2006, with coordination hubs in New York, Toronto, and Accra plus a dedicated Tbilisi-based team. Its Republic of Georgia program pairs a surrogacy-friendly legal framework with experienced IVF centers; a surrogacy-only journey using existing embryos is currently estimated near $69,000 — roughly half the typical $120,000–$180,000 U.S. range — with most families completing the full journey in about 12–18 months and one to two trips to Tbilisi.
Written by Dr. Pooja Patel, MD, Surrogacy Coordinator · Reviewed by Dr. Rashmi Gulati, MD, Board Certified Internal Medicine, Medical Advisor · Last updated August 23, 2026
| Field | Value |
|---|---|
| Program type | Gestational surrogacy, donor egg & IVF/PGT-A coordination |
| Typical cost range | $16,360–$114,000+ |
| Typical timeline | 12–18 months, usually 1–2 trips to Tbilisi |
| Agency license | NYS Surrogacy Program License GSP220903 |
| FDA registration | HCT/P Establishment FEI 3021544308 |
| Coordination hubs | New York · Toronto · Accra · Tbilisi |
Georgia has built a genuine reputation as a structured, affordable international surrogacy destination — a rare combination of legal clarity, experienced fertility infrastructure, and a lower overall cost than most U.S. programs. Here is what that actually means for your journey.
As several long-standing European surrogacy programs have become unavailable or heavily restricted in recent years, Georgia has emerged as one of the most established international destinations still offering a clear legal pathway — one reason case volume, clinic experience, and program maturity here have grown quickly.
Georgia’s Law on Health Care (Articles 141, 143 & 144) permits IVF and gestational surrogacy with written consent. The intended parents — not the surrogate or donor — are recognized as the child’s legal parents from the outset.
A comparable American journey often runs $120,000–$180,000. A Georgia surrogacy-only program is currently estimated near $69,000 — without marking up third-party medical, legal, or escrow charges.
Tbilisi’s fertility clinics have supported international patients for years, coordinating embryo transfer, pregnancy monitoring, hospital delivery, and birth-certificate documentation as routine practice.
Fresh or frozen donor eggs, standard or elite donor tiers, and a guaranteed Day-5 blastocyst program give families facing age-related infertility or repeated IVF failure a structured way forward.
The U.S. State Department rates Georgia Level 1: Exercise Normal Precautions. Tbilisi hosts the U.S. Embassy directly, and most intended parents describe the city as historic, walkable, and warm.
Our Tbilisi-based coordinator, Salome Vacheishvili, greets families on arrival, while our New York physicians remain reachable throughout — one team on both ends of the journey.
Agency, medical, legal, insurance & surrogate compensation combined.
Using your own existing embryo(s) — see full breakdown in Chapter Three.
| Cost category | Typical U.S. program | Georgia program (Surrogacy4All) |
|---|---|---|
| Surrogate compensation & direct costs | $40,000–$60,000 | ~$31,500 |
| Agency fees | $20,000–$35,000 | $20,500 |
| IVF / medical screening & care | $20,000–$35,000 | ~$10,500 |
| Legal | $8,000–$15,000 | $5,000 |
| Escrow / miscellaneous | $5,000–$15,000 | $1,500 |
| Typical total | $150,000–$220,000+ | ~$69,000 |
The Republic of Georgia — the country in the Caucasus — is not the U.S. state of Georgia; the two are unrelated for legal purposes. Surrogacy law can change, and every family’s eligibility depends on citizenship, marital status, genetic connection, and the legal framework in force at the time of treatment.
We strongly recommend independent legal review — including a U.S. immigration attorney for citizenship and passport planning — before signing any agreement or beginning treatment. Nothing on this page is legal, medical, or financial advice.
“Many intended parents come to surrogacy after years of infertility treatment, failed cycles, or emotional disappointment. Georgia offers a practical, hopeful path forward — with a structured plan and caring support at every step.”
SURROGACY4ALL · REPUBLIC OF GEORGIA PROGRAM
Every family’s path looks a little different depending on whether donor eggs, embryo creation, or PGT-A testing are involved — but the coordination follows the same structure whether you’re the intended parent or the gestational carrier.
Complete the confidential Georgia Intended Parent Application (medical history, fertility diagnosis, and the service pathway you’re considering), then join a free consultation — in person or virtual — to review options, budget, and timeline.
Decide whether you’ll use existing embryos, create embryos from your own or donor eggs, add PGT-A testing, or pursue the guaranteed Day-5 blastocyst program — then sign the corresponding service agreement.
Our matching team reviews personality, geography, and preferences on both sides, shares profiles, and hosts a guided video call so both parties can build rapport before confirming the match.
Your carrier completes medical, psychological, and legal screening in Georgia while independent counsel finalizes the Gestational Carrier Agreement, and your SeedTrust escrow account is opened.
Embryos are transferred at the Georgia IVF center. Once pregnancy is confirmed, our physicians and the clinical team monitor progress through each trimester, with your case manager keeping you informed at every milestone.
We coordinate hospital delivery planning, birth-certificate registration, and the documentation needed for your visit to the U.S. Embassy in Tbilisi — then help you prepare for the trip home with your baby.
Initial eligibility review covering age, health history, BMI, prior pregnancies, and lifestyle factors.
A conversation about expectations, motivations, and what the journey involves day to day.
Profile shared with intended parents; a guided video call confirms mutual fit before moving forward.
Clinical clearance, psychological evaluation, and the signed Gestational Carrier Agreement.
Medication protocol, ultrasound monitoring, and the embryo transfer procedure itself.
Regular prenatal care, a dedicated case manager, and physicians reachable for medical questions throughout.
Hospital delivery, post-delivery medical follow-up, and counseling support once the journey concludes.
Surrogacy4All does not mark up third-party fees — you’re billed the actual amounts incurred, split across agency fees, direct surrogate costs, and medical expenses. Figures below are current planning estimates, not a guaranteed maximum; a written DGA quote confirms the final scope for your selected path.
Medically indicated sex selection is available only to avoid a sex-linked hereditary disease (e.g. Duchenne/Becker muscular dystrophy, Hemophilia A/B), as permitted under Georgian law and approved by the treating IVF center — it is not offered for elective family balancing.
We recommend an initial SeedTrust escrow deposit of $25,000, with additional funds added as needed — you can monitor and approve every disbursement from your account online. Contact us for a personalized written quote before signing any agreement.
Standalone IVF with PGT-A, no surrogacy, self-carry. Illustrative total for 4 embryos tested.
Lowest-cost Georgia surrogacy path when you already have usable frozen embryos.
6 standard frozen donor eggs + embryo creation + Georgia surrogacy.
12 elite donor eggs, 3 guaranteed Day-5 blastocysts, plus your first surrogacy journey.
| Cost item | Amount | Notes |
|---|---|---|
| Application fee | $2,500 | Case opening & application |
| First agency payment (due at signing) | $18,000 | Agency / program coordination |
| SeedTrust escrow setup | $1,500 | Independent U.S. escrow provider |
| Legal services | $5,000 | Surrogate contract, parentage & related work |
| Gestational carrier compensation & direct costs | $31,500 | Estimated; actual amount may vary |
| Initial surrogate screening | $1,000 | Medical / clinic screening |
| Surrogate prep, embryo transfer & clinical care through delivery | $9,500 | Georgia medical-provider services |
| Estimated surrogacy-only total | $69,000 | Not a guaranteed maximum |
| Program | Price | What’s included |
|---|---|---|
| Fresh-cycle donor selection & preparation | $18,000 | Plus embryo creation, $7,080 additional |
| Standard frozen donor egg | $2,500 / egg | 6–8 eggs recommended per child; can ship without making embryos |
| Elite frozen donor egg | $3,500 / egg | Donors may include physicians, attorneys & advanced-degree graduates |
| Embryo creation add-on | $7,080 | PGT-A additional at $400 per embryo biopsied |
| Guaranteed Day-5 blastocyst program | $45,000 | 12 elite eggs, embryo creation, PGT-A & 3 guaranteed Day-5 blastocysts (~$15,000/blastocyst) |
| Additional embryo / oocyte storage | $250 / 6 mo | Beyond included storage period |
| Item | Price | Included / notes |
|---|---|---|
| DGA agency / coordination fee | $5,000 | Program coordination & scheduling |
| Routine IVF — own eggs + partner sperm | $9,760 | Screening, stimulation, retrieval, IVF/ICSI, freezing & one transfer |
| PGT-A / embryo biopsy & testing | $400 / embryo | Charged per embryo actually biopsied |
| Illustrative total — 4 embryos tested | $16,360 | $5,000 + $9,760 + $1,600 PGT-A |
| Shipment | Estimated budget | Notes |
|---|---|---|
| Frozen embryo(s), sperm and/or eggs — to Georgia | $6,000 | Per standard international shipment |
| Surplus material — Georgia to U.S. or another destination | $6,000 | Same estimate for outbound/return shipment |
| When | Amount | What it covers |
|---|---|---|
| Month 1 | $20,500 | Application fee + first agency payment |
| Month 1–2 | $20,000 | Paid to IVF clinic via escrow |
| Month 3–4 | $6,000 | Surrogate management & legal fees |
| Month 6+ | $22,500 | Surrogate compensation & insurance, monthly from escrow |
| Total | $69,000 | Estimated surrogacy-only journey |
Surrogacy4All is one of only a handful of physician-led surrogacy agencies in the country — meaning the people reviewing your medical file are the same people managing your case, not a separate business office.
Oversees medical strategy across every Surrogacy4All program.
Specialist support on fertility diagnosis and treatment planning.
Leads day-to-day surrogate matching, monitoring & case management.
Point of contact for egg-donor programs and blastocyst planning.
Supports donor screening and program administration.
Greets families on arrival in Georgia and coordinates every local appointment.
Founded in 2006 and established as Surrogacy4All in 2008, we’re a physician-led agency based in New York City, adjacent to Mount Sinai Hospital — a division of Patients Medical, New York’s pioneer in integrative and reproductive medicine since 1974.
We hold a Health Canada establishment registration, an FDA HCT/P establishment registration, and are bonded, insured, and licensed by the States of New York and California. Out of roughly 200 U.S. surrogacy agencies, fewer than five are physician-led — direct medical oversight tends to mean fewer delays, more personalized care, and a genuinely holistic approach to a very medical, very legal, very emotional process.
Success-rate figures vary by clinic and case — ask your coordinator for current SART (Society for Assisted Reproductive Technology) data before comparing programs.
2006 Founded
1,000+ Pre-screened surrogates & egg donors
NY · TOR · ACC Coordination hubs, plus our Tbilisi team
Hundreds Of families served — married, single & LGBTQ+
Georgia sits in the Caucasus, where Eastern Europe meets Western Asia, on the eastern edge of the Black Sea. Nearly every surrogacy journey is centered on Tbilisi, its capital for roughly fifteen centuries — a historic, walkable city that most intended parents come to feel genuinely at ease in.
The U.S. State Department rates Georgia “Level 1: Exercise Normal Precautions.” Journeys stay in and around Tbilisi; the restricted regions of South Ossetia and Abkhazia are not part of any surrogacy visit.
29 Georgian-American Friendship Avenue, Didi Dighomi — about 25–40 minutes from central hotels. Handles citizenship, passport & CRBA processing for your baby.
Most IVF/PGT-A journeys involve a 12–14 day first trip (retrieval & embryo creation, shorter if stimulation starts locally) and a 3–5 day second trip for transfer.
Cobblestone streets, colorful balconies, and the domed Abanotubani sulfur baths make the historic quarter one of Europe’s most distinctive old towns.
A hilltop fortress overlooking the city, and a family-friendly mountain park reached by funicular — both popular ways to fill a calm day between appointments.
A day trip to one of the world’s oldest wine regions — best scheduled before medical procedures begin or during a non-medical waiting period.
| Departure city | Typical routing | Approx. travel time |
|---|---|---|
| New York / Newark | 1 stop via Istanbul, Doha, Paris, Amsterdam, Frankfurt or Munich | 14–18 hrs |
| Washington, D.C. | 1 stop via Istanbul, Doha or Europe | 15–19 hrs |
| Chicago | 1 stop via Istanbul, Doha or Europe | 16–21 hrs |
| Miami | 1 stop via Istanbul, Doha or Europe | 16–22 hrs |
| Los Angeles / San Francisco | 1 stop via Istanbul, Doha, Dubai or Europe | 18–24 hrs |
Central, near Old Tbilisi, with airport shuttle service.
Classic upscale option near museums & shopping.
Five-star, central, near the sulfur-bath district.
City views with easy access across central Tbilisi.
Boutique, design-forward, Vake/Mtatsminda district.
Modern high-rise in the quieter, upscale Vake area.
A: A surrogacy-only journey using your existing embryos is currently estimated near $69,000. Adding donor eggs or a guaranteed blastocyst program brings the estimate to roughly $91,000–$114,000 depending on the path. These are planning estimates, not a guaranteed maximum — request a written quote before signing.
A: No. Agency fees, direct surrogate costs, and medical expenses are billed separately at actual cost. Third-party charges (clinic, courier, legal, government) are paid through your independent escrow account, which you can monitor online.
A: SeedTrust is our independent U.S. escrow provider. We recommend an initial deposit of $25,000, with additional funds added as needed, so surrogate compensation and medical costs are paid transparently and on your approval.
A: Georgia's surrogacy pathway is generally structured for eligible heterosexual couples. Every family's eligibility depends on individual circumstances, nationality, and marital status, and should be confirmed with independent legal counsel before beginning treatment.
A: Under Georgia's Law on Health Care, when a child is born through surrogacy the intended parents are recognized as the legal parents, and the surrogate or donor does not have parental rights to the child. Citizenship and passport processing for U.S. families is handled through the U.S. Embassy in Tbilisi.
A: Georgian law restricts the use of assisted-reproduction methods for sex selection except where medically necessary to avoid a sex-linked hereditary disease (such as Duchenne muscular dystrophy or Hemophilia A/B). This pathway requires documented genetic indication, clinic review, and legal compliance — it is not available for elective family balancing.
A: No. This program takes place in the Republic of Georgia, a country in the Caucasus between Eastern Europe and Western Asia — not the U.S. state of Georgia. The two share a name but have entirely different laws, so it's worth double-checking with your coordinator whenever "Georgia surrogacy" comes up in your research.
A: Assisted-reproduction law can change, and past legislative discussions have raised the possibility of new restrictions for foreign intended parents. We monitor the legal landscape and coordinate accordingly, but we strongly recommend independent legal counsel — including a U.S. immigration attorney for citizenship and passport planning — before signing any agreement, and periodically throughout your journey.
A: Common medical indications include three or more failed IVF cycles, recurrent pregnancy loss, absence of a functioning uterus, cancer treatment that affected fertility, and age-related infertility. Many families also arrive after years of infertility treatment and are ready for a more structured, cost-transparent path forward.
A: You'll complete a detailed profile covering your family, hobbies, and reasons for pursuing surrogacy. Our matching team then considers geography, communication preferences, and views on selective reduction and termination before introducing you to a candidate via video call.
A: We coordinate up to two replacement gestational-carrier candidates without an additional agency coordination fee. You remain responsible for the new candidate's third-party screening, legal, and travel costs.
A: Most families see matching completed within the first two months, with embryo transfer following medical and legal clearance shortly after. From application to delivery, a typical Georgia journey runs roughly 12–18 months, though individual timelines vary and usually involve one to two trips to Tbilisi.
A: We generally recommend 6–8 eggs for one child and 12–16 eggs for two children, though embryo yield varies by individual case. The guaranteed Day-5 blastocyst program uses 12 elite donor eggs to contractually guarantee a minimum of 3 blastocysts.
A: It means an embryo reaches the Day-5 blastocyst stage and is considered suitable for cryopreservation or transfer assessment. It does not guarantee the embryo is chromosomally normal, will implant, or will result in a pregnancy or live birth.
A: The U.S. State Department currently rates Georgia Level 1: Exercise Normal Precautions. Journeys are based entirely in and around Tbilisi; the restricted regions of South Ossetia and Abkhazia are not part of any surrogacy visit.
A: For IVF cycles requiring sperm collection, the male partner typically only needs to attend the first trip. For embryo transfer visits and delivery, individual travel plans depend on your specific program and are confirmed with your coordinator.
A: Our Tbilisi-based coordinator, Salome Vacheishvili, greets families on arrival and manages local logistics, while our New York physicians remain reachable for medical questions throughout your stay.
Our job is to listen, to connect the dots between your needs, and to determine how we can best help you have your baby. If you’re asking how much does it cost for a surrogate, we’ll walk you through every step of the process to ensure there are no surprises.
To make an appointment with one of our counselors or physicians, please call (212) 661-7673 or email info@surrogacy4all.com. We look forward to hearing from you.
Secret Guide to Minimizing Surrogacy Costs
Licensed & Registered: NYS Surrogacy Program License GSP220903 · NYS Tissue Bank License ID 1570 · California Tissue Bank License CTB00082276 · Maryland Tissue Bank License TB3527 · FDA HCT/P Establishment Registration FEI 3021544308 · Health Canada Establishment Registration 000119
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