Surrogacy Desk

A clearer path to understanding surrogacy.

Explore evidence-informed resources, understand the process and prepare for conversations with qualified medical and legal professionals.


SURROGACYDESK • LEARNING CENTRE

Understand Surrogacy

Learn the basics, understand the terminology and explore the medical and practical aspects of surrogacy through clear, accessible educational resources.

Information • Understanding • Support
THE BASICS

What is surrogacy?

Surrogacy is an arrangement in which a woman carries and gives birth to a child with the intention that the child will be cared for by the intended parent or parents, subject to applicable law and the arrangement’s circumstances.

Understanding the different types of surrogacy, the people involved, the medical process and the relevant legal framework can help readers prepare for informed discussions with qualified professionals.

A SIMPLIFIED OVERVIEW

How does gestational surrogacy work?

These stages provide a general educational overview. Individual treatment pathways can differ.

01

Assessment and consultation

Relevant medical assessments and consultations help establish the circumstances, options and professional care required.

02

IVF and embryo creation

Where appropriate, eggs and sperm are used in laboratory treatment to create embryos.

03

Embryo transfer

An embryo may be transferred to the surrogate’s uterus as part of the clinical treatment plan.

04

Pregnancy and follow-up care

If pregnancy occurs, appropriate antenatal monitoring and follow-up care are arranged by qualified professionals.

This overview is educational and does not establish eligibility or guarantee treatment or pregnancy outcomes.

QUICK REFERENCE

Surrogacy terminology

Common terms you may encounter when reading about surrogacy and fertility treatment.

Gestational surrogacy

An arrangement in which the surrogate carries a pregnancy without providing the egg used to create the embryo.

Traditional surrogacy

An arrangement in which the surrogate’s own egg is used, making her genetically related to the child.

IVF

In vitro fertilization: fertilization of an egg by sperm in a laboratory setting.

Embryo transfer

The procedure in which an embryo is placed into the uterus as part of fertility treatment.

Intended parents

The person or people who intend to become the parent or parents of the child.

Surrogate

The woman who carries a pregnancy under a surrogacy arrangement.

COMMON QUESTIONS

Frequently asked questions

What is the difference between gestational and traditional surrogacy?

In gestational surrogacy, the surrogate does not provide the egg used to create the embryo. In traditional surrogacy, the surrogate’s own egg is used. Legal availability and requirements vary by jurisdiction.

Does surrogacy always involve IVF?

Gestational surrogacy involves embryo creation and transfer, generally through IVF. The methods and treatment protocols depend on the clinical situation.

Is surrogacy legally permitted everywhere?

No. Laws and eligibility requirements differ between jurisdictions and may change. Obtain current advice from a qualified legal professional in the relevant jurisdiction.

Does undergoing surrogacy guarantee a pregnancy?

No. Fertility treatment and pregnancy outcomes are uncertain and depend on multiple medical and individual factors.

Continue your learning journey

Explore more fertility resources and prepare questions for discussion with qualified medical and legal professionals.

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Educational disclaimer: This page provides general educational information only. It is not a substitute for individualized medical, psychological or legal advice. Surrogacy laws, eligibility and permitted arrangements vary by jurisdiction. Consult appropriately qualified professionals.

Surrogacy in India: 50 Frequently Asked Questions

Clear, general answers about surrogacy in India, including the legal framework, eligibility, medical treatment, clinics, consent, costs, pregnancy and parenthood.

1. What is surrogacy?

Surrogacy is an arrangement in which a woman carries and gives birth to a child with the intention that the child will be cared for by the intended parent or parents, subject to the applicable legal framework.

2. What is the law governing surrogacy in India?

The principal law is the Surrogacy (Regulation) Act, 2021, supported by rules and amendments. Assisted reproductive technology is also regulated separately under the ART (Regulation) Act, 2021 and its rules.

3. What are the main types of surrogacy?

Commonly used terms include gestational and traditional surrogacy, as well as altruistic and commercial arrangements. These terms describe different medical or payment structures, but not every type is legally permitted in India.

4. What is gestational surrogacy?

In gestational surrogacy, an embryo is transferred to the person carrying the pregnancy. The carrier does not provide the egg used to create the embryo. The treatment must meet applicable legal and clinical requirements.

5. What is traditional surrogacy?

Traditional surrogacy is a term for an arrangement in which the carrier also provides the egg and is genetically related to the child. Do not assume this arrangement is legally available in India; obtain advice on the current law.

6. Is commercial surrogacy permitted in India?

Commercial surrogacy is prohibited under India’s statutory framework. The law provides for altruistic surrogacy subject to prescribed conditions and safeguards.

7. What does altruistic surrogacy mean in India?

Under the Indian framework, altruistic surrogacy excludes commercial remuneration or monetary incentives, while specified medical expenses and insurance coverage may be provided as permitted by law and rules.

8. Is surrogacy available to everyone who wants a child?

No. Indian law sets eligibility criteria and medical-indication requirements. Wanting to become a parent or having a diagnosis of infertility does not by itself establish eligibility.

9. Who is an intending couple?

The Act defines an intending couple by reference to its statutory requirements. Whether a particular couple qualifies depends on the current law, documentation and relevant eligibility conditions.

10. Can a single woman pursue surrogacy in India?

The Act contains a specific provision for an intending woman who is a widow or divorcee, subject to prescribed conditions. Eligibility and the required use of gametes must be checked under the current rules.

11. Can a single man pursue surrogacy in India?

Do not assume that a single man is eligible. Indian law contains specific categories and restrictions, so an individual’s circumstances should be reviewed by a qualified lawyer against the current legislation.

12. Can unmarried partners apply for surrogacy?

Eligibility depends on the statutory definitions and requirements. Unmarried partners should obtain legal advice rather than assume that their relationship qualifies under the Indian framework.

13. Can foreign nationals access surrogacy in India?

Nationality, residency, immigration and statutory eligibility can affect access. Foreign nationals should obtain current advice on Indian law and any relevant home-country or travel requirements before taking steps.

14. What medical reasons may be relevant to surrogacy?

Medical circumstances may include conditions that make pregnancy impossible or medically inadvisable. The law and prescribed medical-indication criteria determine what qualifies; a specialist must assess the individual case.

15. Does repeated IVF failure automatically qualify a person?

Not automatically. Eligibility depends on the applicable legal criteria and medical assessment. A fertility specialist and the relevant authority should determine whether the circumstances meet the requirements.

16. Which authorities regulate surrogacy in India?

The regulatory framework includes the National and State ART and Surrogacy Boards and designated Appropriate Authorities. Their roles include oversight and regulation under the Acts and rules.

17. Must a surrogacy clinic be registered?

Clinics providing regulated ART or surrogacy services must meet the applicable registration and regulatory requirements. Intended parents should verify a facility’s status through official sources.

18. How can I check whether a clinic is registered?

Use the National ART & Surrogacy Registry and confirm details with the relevant Appropriate Authority. Check that the registration covers the service being offered.

19. What is the first step when considering surrogacy?

Arrange a consultation with a qualified fertility specialist. Discuss the medical indication, alternatives, likely investigations, treatment options, risks and whether the legal eligibility requirements may be met.

20. What is the role of IVF in surrogacy?

Gestational surrogacy generally involves assisted reproductive technology to create an embryo and transfer it to the carrier. The specific treatment plan depends on medical factors and the lawfully permitted gamete sources.

21. Can donor eggs or sperm be used?

Donor-gamete use is subject to specific legal restrictions. The 2024 amendment permits donor gametes in defined circumstances involving a medical condition certified by the District Medical Board, subject to conditions including at least one gamete from the intending couple. Confirm the current rules for the individual case.

22. Can an intending couple use two donor gametes?

The 2024 amendment’s specified exception requires at least one gamete from the intending couple. It should not be read as a general permission to use two donor gametes for an intending couple in surrogacy.

23. What applies to a single woman using surrogacy?

The 2024 rules state that a single woman who is a widow or divorcee must use her own eggs and donor sperm to avail of the procedure. Confirm the latest applicable rules and eligibility requirements before treatment.

24. Is genetic testing compulsory before surrogacy?

Not every person requires the same tests. Testing should be based on clinical indications, the proposed treatment and applicable rules. Ask the specialist to explain the purpose, limitations and alternatives.

25. What screening may the carrier undergo?

Screening is determined by the clinical team and applicable requirements. It may include medical and obstetric history, physical assessment and investigations relevant to pregnancy and the proposed treatment.

26. Does the carrier need to give informed consent?

Informed and voluntary consent is a fundamental safeguard. The carrier should receive understandable information about the procedure, risks, care and relevant rights, and should have the opportunity to ask questions.

27. Can intended parents control the carrier’s medical decisions?

Intended parents should not assume authority over the carrier’s body or healthcare. Her medical care and consent must be respected in accordance with applicable law and professional standards.

28. Is counselling relevant to surrogacy?

Counselling can help participants consider expectations, emotional wellbeing, communication, boundaries and possible challenges. Ask the clinic what counselling is available and what is required under the applicable framework.

29. Is a written agreement enough to complete the legal process?

No. A document alone should not be assumed to satisfy every legal requirement. The statutory process may involve prescribed certificates, consents, insurance and other formalities. Obtain independent legal advice.

30. What documents might be required?

Documents depend on the case and current rules. They may include medical certificates, eligibility-related records, consents, insurance documents and approvals or certificates from designated authorities. Request a current checklist from the clinic and lawyer.

31. Can the carrier receive payment?

Commercial remuneration is prohibited. The law allows specified medical expenses and insurance coverage, subject to its conditions. Do not offer or accept payments without confirming that they are lawful.

32. What expenses should intended parents plan for?

Potential expenses include consultations, tests, medication, ART procedures, pregnancy-related care, permitted insurance, counselling, legal services and travel or contingency costs. The precise lawful expense categories and amounts must be confirmed.

33. Is there a fixed cost for surrogacy in India?

There is no single reliable cost applicable to every case. Medical needs, clinic services, permitted expenses and individual circumstances differ. Ask for a written, itemised estimate and clarify what is included.

34. Can a clinic guarantee a successful pregnancy?

No treatment can guarantee pregnancy or a live birth. Ask for relevant outcome data, how success is defined and how well the figures apply to the proposed treatment and individual circumstances.

35. How long does the surrogacy process take?

The timeline varies. Medical assessment, approvals, treatment, embryo transfer, pregnancy and legal formalities can take different amounts of time. A clinic may estimate a schedule but cannot guarantee it.

36. What are the possible medical risks?

Risks may arise from fertility medication, egg retrieval, embryo transfer, pregnancy and childbirth. The treating professionals should explain risks relevant to each participant and how complications would be managed.

37. What happens if the carrier develops a complication?

The obstetric team should direct medical care and emergency management. Communication and support plans should be discussed in advance while preserving the carrier’s autonomy and clinical needs.

38. Can intended parents attend pregnancy appointments?

This depends on the carrier’s wishes, clinical arrangements, facility policies and applicable law. Any involvement should be respectful and must not interfere with her care or privacy.

39. What should be planned before delivery?

Discuss birth coordination with the maternity team, practical support, required legal steps, birth registration and any travel documents. Confirm the process early rather than waiting until delivery.

40. Does the intended parent automatically become the legal parent at birth?

Do not assume that legal parentage is automatic or that a private agreement settles it. Confirm the legal effect of the arrangement and the required documentation under Indian law with a qualified lawyer.

41. What happens to birth registration?

Birth registration must follow the applicable law and prescribed procedure. Ask the legal adviser and relevant registration authority which documents and steps apply to the specific surrogacy arrangement.

42. Can surrogacy create citizenship or passport issues?

Citizenship, nationality, passports and parentage recognition can involve separate legal rules, particularly in cross-border cases. Obtain advice from the relevant authorities and lawyers before making travel plans.

43. What if the intended parents live outside India?

Cross-border arrangements may involve Indian surrogacy rules as well as foreign laws on parentage, citizenship, immigration and recognition of documents. Seek advice in each relevant jurisdiction before proceeding.

44. Can surrogacy arrangements be made through an unregistered intermediary?

Be cautious about unverified intermediaries and informal arrangements. Confirm that the clinic and services meet legal requirements, and obtain independent advice before signing documents or transferring funds.

45. What privacy protections should participants discuss?

Discuss how medical records, identity details, contact information and updates will be collected, stored and shared. Respect the privacy of the carrier, intended parents and child, subject to legal disclosure obligations.

46. What happens to unused embryos?

Storage, future use or disposition depends on consent, clinic policy and applicable law. Ask about available options before treatment and keep consent documentation up to date.

47. What if treatment is unsuccessful?

The fertility team can review the outcome, explain possible reasons and discuss whether further treatment or alternatives may be appropriate. Any next step should be based on medical advice, informed consent and lawful eligibility.

48. Where can complaints or concerns be raised?

Start by reviewing the clinic’s complaint procedure. Depending on the issue, the relevant Appropriate Authority or other competent body may have a role. Keep records and seek independent advice if needed.

49. Where can I find official information about surrogacy in India?

Consult the National ART & Surrogacy Portal, its rules and notifications, and India Code for legislation. Check current materials rather than relying on outdated summaries.

50. What should someone do before starting a surrogacy journey?

Discuss medical options with a qualified fertility specialist, verify legal eligibility, consult an independent lawyer, check clinic registration, understand consent and safeguards, and obtain a transparent estimate of lawful costs and likely steps.

Medical and legal disclaimer: This content is for general educational purposes only. It is not medical, legal, psychological or financial advice and does not establish eligibility for surrogacy. Indian laws, rules and official guidance may change. Confirm current requirements with the relevant authority, a qualified fertility specialist and an independent lawyer. Respect the gestational carrier’s informed consent, privacy, autonomy and healthcare needs.

SurrogacyDesk | Understand Surrogacy • Medical Guidance • Legal Information