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Posted on May 9, 2025

By Dr. Kulsoom Baloch

Volunteer Surrogacy vs Paid Surrogacy: Key Differences

By Dr. Kulsoom Baloch

Learn more about Dr. Baloch

Introduction

When exploring surrogacy, one of the first decisions to make is whether to pursue **volunteer (altruistic)** or **paid (compensated)** surrogacy. This blog highlights the differences, pros and cons, and how the choice affects both the surrogate and intended parents.

What Is Volunteer (Altruistic) Surrogacy?

In altruistic surrogacy, the surrogate agrees to carry a child **without receiving financial compensation** beyond medical expenses. This is more common among family or close friends.

What Is Paid (Compensated) Surrogacy?

In compensated surrogacy, the surrogate receives a base payment for her time, effort, and the medical burden of pregnancy. Compensation typically ranges from **$50,000 to $80,000+** depending on experience, location, and agency.

Legal Differences by Country and State

  • United States: Most U.S. states allow compensated surrogacy, though some (e.g., Michigan, Nebraska) do not. Altruistic surrogacy is also permitted.
  • Canada: Only altruistic surrogacy is legal—paying a surrogate beyond reimbursement is illegal.
  • United Kingdom: Only altruistic surrogacy is permitted.
  • India and other countries: Regulations vary widely and change often.

Pros and Cons of Volunteer Surrogacy

Pros:

  • Lower cost for intended parents
  • Often involves a pre-existing relationship

Cons:

  • Harder to find surrogates
  • Emotional complications if things go wrong
  • No financial incentive for commitment

Pros and Cons of Paid Surrogacy

Pros:

  • Larger, professional pool of surrogates
  • Financial motivation can ensure follow-through
  • Agencies provide structure and protection

Cons:

  • More expensive
  • Requires legal contracts and escrow management

Which Is More Common in 2025?

In the U.S., **compensated gestational surrogacy** is by far the most common and legally supported option. Most agencies—including Surrogacy4All—operate within this model to ensure safety, transparency, and fairness.

How to Choose the Right Model for You

  • Are you working with a family member or friend? Altruistic might work.
  • Do you want legal and medical oversight? Compensated surrogacy is better.
  • Are you in a country with legal restrictions? Know your local laws before starting.

Conclusion

Whether you choose volunteer or paid surrogacy, both paths can lead to the joy of parenthood. Surrogacy4All ensures every journey is handled with care, legal protection, and full transparency.

Dr. Kulsoom Baloch
MBBS, MPH â€“ kulsoom@indianeggdonors.com

Dr. Kulsoom Baloch is a dedicated donor coordinator at Egg Donors, leveraging her extensive background in medicine and public health. She holds an MBBS from Ziauddin University, Pakistan, and an MPH from Hofstra University, New York. With three years of clinical experience at prominent hospitals in Karachi, Pakistan, Dr. Baloch has honed her skills in patient care and medical research.