Surrogacy is not just a medical process—it is a deeply emotional journey for both intended parents and surrogates. While the ultimate reward is the joy of welcoming a child into the world, the path involves complex feelings, expectations, and changes that deserve understanding and support.
Emotional Journey for Intended Parents
For many intended parents, surrogacy represents hope after years of infertility, pregnancy loss, or medical conditions preventing pregnancy. Even with excitement, emotional challenges can arise along the way.
Common Feelings
- Relief and gratitude when the surrogacy process begins
- Fear of uncertainty or failure
- Worry about bonding with the baby
- Trust building with the surrogate
- Overwhelming joy as milestones progress
Intended parents often feel deeply grateful to the surrogate while simultaneously anxious because they aren’t carrying the pregnancy themselves. Regular updates, attending medical appointments, and staying involved can ease emotional stress and strengthen bonding during the process.
Emotional Journey for Surrogates
Surrogates embark on the journey with compassion, empathy, and a desire to help others become parents. Although emotionally rewarding, it still requires physical and emotional strength.
Common Feelings
- Pride in helping another family
- Hormonal mood shifts during pregnancy
- Attachment to the baby during pregnancy
- Emotional closure after delivery
- Joy seeing the family complete their dream
Healthy boundaries, psychological screenings, and post-birth emotional support help surrogates feel prepared and respected throughout their journey.
The Importance of Emotional Support
Both intended parents and surrogates benefit from continuous psychological support.
Recommended emotional support strategies
- Pre-surrogacy counseling
- Ongoing therapy during the journey
- Support groups with other intended parents or surrogates
- Open communication between all parties
- Post-delivery counseling and emotional follow-ups
Most reputable surrogacy agencies ensure mental health support is built into the process—because emotional well-being matters just as much as medical safety.
Building Trust and Connection
A positive surrogacy experience rests on mutual respect.
Effective communication includes:
- Regular updates from the surrogate
- Involvement of intended parents with pregnancy milestones
- Shared celebrations (ultrasound, gender reveal, etc.)
- Respecting personal boundaries and privacy
Not every relationship becomes close, but a foundation of trust and honesty builds comfort and confidence for everyone.
The Moment of Birth
The birth itself is an emotional peak for both parties:
- For intended parents: overwhelming joy and fulfillment
- For surrogates: pride, emotional release, and closure
A planned birthing plan—discussing delivery room roles, holding the baby first, and creating space for emotional reactions—helps ensure the moment feels respectful and meaningful for all.
Life After Birth
The emotional journey doesn’t end at delivery.
Intended parents may experience:
- Immediate bonding with the baby
- Continued gratitude toward the surrogate
- Post-surrogacy emotional decompression
Surrogates may experience:
- Postpartum hormonal mood shifts
- A healthy sense of accomplishment
- Emotional fulfillment seeing the family complete
Continued communication—when all parties agree—can provide comfort and closure.
Frequently Asked Questions (FAQ)
Q. Is surrogacy emotionally difficult?
Ans : Surrogacy can involve strong emotions for both intended parents and surrogates, but psychological screenings and professional support help manage the experience positively.
Q. Can surrogates become attached to the baby?
Ans : It is natural to feel connected during pregnancy. Proper education, boundaries, and counseling help surrogates focus on the purpose: giving the baby to the intended parents after birth.
Q. How can intended parents stay emotionally connected during the pregnancy?
Ans : Attend appointments when possible, communicate regularly, celebrate milestones, and maintain supportive and respectful communication with the surrogate.
Q. Do intended parents and surrogates stay in touch after birth?
Ans : Some develop lifelong relationships, while others prefer limited updates. The preference should be discussed before the surrogacy journey begins.
Q. Is counseling mandatory in surrogacy?
Ans : Most ethical agencies require psychological evaluations and emotional support for intended parents and surrogates throughout the process for mental well-being.

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.




