The Process, Step by Step


Surrogate Mother Application ProcessThere are many steps to becoming a surrogate mother in our surrogate program. They may vary slightly based on location, physician, and needs of the surrogate mother and intended parents. Below you’ll find a general framework of what to expect as a surrogate mother. And remember, we will be there walking you through each step as you progress through the process to make becoming a surrogate mother as easy as possible.

Step One: The Surrogate Mother Application and Evaluation Process

  • Begin by filling out the online surrogate mother application.  This application asks about your lifestyle, pregnancy, medical, and work history.  It is crucial that you complete the application thoroughly and honestly so that we may get to know you and match you with appropriate intended parents.
  • If your application is accepted, you will receive a call from our surrogacy coordinator who will gather more information about you and your family.
  • At this point, we ask for relevant surrogacy information such as medical records from all previous pregnancies.

Step Two: Matching Surrogate Mother with Intended Parents

Once you are accepted into our surrogate mother program, we will provide you with information about the intended parents so that all parties can mutually select who they would like to work with. Once everyone feels comfortable with the profile selection, the surrogacy coordinator will arrange a meeting between all parties to discuss the partnership and expectations. This is one of the most important, crucial, and reaffirming steps in the surrogacy journey- establishing a connection between the surrogate and hopeful intended parents.

Step Three: Surrogate Mother Medical Work Up

You will be meeting at the IVF clinic with the intended parents’ physician, who will speak with you in detail and perform a surrogacy information assessment.  The work up varies from clinic to clinic but will often include:

  • Vaginal ultrasound  (a probe is inserted into the vagina  enabling the technician to look at your uterus for polyps, scar tissue, and lining thickness)
  • Physical and pap smear
  • Hysteroscopy- A procedure where a small camera is placed in the uterus to look at the uterine cavity
  • Medical instruction of the IVF cycle, injections, medication use, and embryo transfer

Step Four: Surrogate Mother IVF Cycle

The IVF nurse will give you full instructions and details about the medications needed, the medical protocol, any restrictions, and expectations.  In preparation for your uterus to receive embryos created by the couple:

  • You will most likely be asked to take estrogen and progesterone in either patch, pill, suppository, or injection form.  You may also be asked to take a birth control pill to regulate and synch your menstrual cycle with the intended mom or egg donor.
  • You will have your blood drawn and ultrasounds regularly to monitor the progress of the cycle.
  • You will have an embryo transfer where a small catheter is inserted into your vagina and through to your uterus.  The embryos will be placed through the catheter and into the uterus for anticipated implantation.

Step Five: Surrogate Mother Pregnancy and Delivery

This pregnancy may be different from your own pregnancies in that it is conceived via In Vitro Fertilization and requires a little more early attention then your past pregnancies.

  • You may be asked to have your blood drawn, ultrasounds, or other procedures far more regularly than with “natural” pregnancies.
  • There is a possibility of multiples that may require additional office visits, bed rest, or other monitoring.
  • This pregnancy is shared with the loving intended parents, and therefore there requires ongoing communication about the developing fetus, your health status, needs for support, or other matters.
  • You will be participating in support groups that are offered in person and on-line in order to assure that all of your questions are answered and that you have support from other surrogate moms.
  • Delivery is a very special time for all involved. Our mental health professional will meet with both the gestational carrier and the intended parents to create a birth plan that will attempt to meet everyone’s needs.

If you are ready to start this incredible, life-altering journey to become a surrogate mother, we are here to welcome you to our surrogacy program.