Understanding the Surrogacy Journey: Timeline from Matching to Birth

By Dr. Kulsoom Baloch

Learn more about Dr. Baloch

Introduction

Starting a surrogacy journey is exciting—but also full of questions. How long does it take? What are the steps? Who handles what? This guide walks you through the complete timeline of surrogacy, from matching with your surrogate to welcoming your baby.

Step 1: Initial Consultation and Agency Onboarding (1–2 Weeks)

• Meet with a surrogacy agency (like Surrogacy4All)
• Discuss goals, budget, location preferences, and medical needs
• Review contract, fees, and timeline expectations

Step 2: Matching with a Surrogate (1–3 Months)

• Intended parents are shown profiles of pre-screened surrogates
• A match meeting is arranged if both parties are interested
• Final approval occurs after mutual agreement and medical review

Step 3: Legal Contracts (2–4 Weeks)

• Each party retains independent legal counsel
• Contracts outline rights, responsibilities, compensation, and medical decisions
• Contracts must be finalized before any medical treatment begins

Step 4: Medical Screening & Embryo Transfer Prep (3–6 Weeks)

• The surrogate undergoes medical screening and starts hormonal meds
• Embryos are thawed or created using IVF
• The embryo transfer procedure is scheduled at a fertility clinic

Step 5: Pregnancy Confirmation and Monitoring (1–2 Weeks)

• Pregnancy is confirmed 10–14 days after embryo transfer with a blood test
• An ultrasound is done around 6–8 weeks to confirm a heartbeat

Step 6: Monthly Check-ins and Ongoing Care (Months 2–9)

• The surrogate receives prenatal care from OB/GYNs
• Monthly updates are shared with intended parents
• Emotional and logistical support is provided by the agency.
• See also concierge level surrogate support packages offered by Patients Medical to give the surrogate comfort, medical help and moral support during her pregnancy. See

https://www.patientsmedical.com/treatments/surrogatesupport.aspx

Step 7: Delivery and Transfer of Custody (Month 9)

• Intended parents travel to the surrogate’s location (if needed)
• Delivery is coordinated with the hospital and legal team
• Parental rights are established with a pre-birth or post-birth order
• The baby is discharged to the intended parents

Total Timeline: 12–18 Months

From onboarding to birth, most surrogacy journeys take about 12–18 months. However, it can vary based on embryo readiness, match timing, legal jurisdiction, and clinic schedules.

Conclusion

The surrogacy process is complex but manageable—with the right team. At Surrogacy4All, we walk intended parents and surrogates through every step with legal, emotional, and medical support.