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Becoming a Surrogate10 min read

What to Expect as a Surrogate: A Step-by-Step Guide

If you're thinking about becoming a surrogate, you probably have a lot of questions about what the process actually looks like. How long does it take? What will you have to do? What happens at each stage? This guide walks you through the entire surrogacy journey — from your first application to the moment you hand a baby to a family who has been waiting for them.

Phase 1: Application and Initial Screening (Weeks 1–4)

The process begins when you submit an application covering your basic health history, pregnancy history, lifestyle, and motivation. Once reviewed, a coordinator will schedule a phone call — a relaxed, conversational call to get to know you and answer your questions. A standard background check is then conducted, followed by a psychological evaluation with a licensed mental health professional to ensure you have the emotional support system in place to thrive.

Phase 2: Matching with Intended Parents (Weeks 4–12)

Once cleared, our team creates a profile representing you to prospective intended parents. Matching is one of the most meaningful parts of the journey — we carefully review intended parent profiles and identify families whose values and communication preferences align with yours. You'll review their profile before any match is finalized. The match meeting is typically a video call where many surrogates describe meeting the family as one of the most emotional moments of the process. Our average match time is 1–6 months from clearance.

Phase 3: Medical and Legal Preparation (Weeks 12–20)

After matching, you'll travel to the intended parents' fertility clinic for a comprehensive medical evaluation including blood work and a uterine evaluation. All travel and medical costs are covered. Both you and the intended parents will be represented by independent attorneys to review and negotiate the gestational carrier agreement at no cost to you. In most states, a pre-birth order is obtained during the pregnancy to establish the intended parents as legal parents before birth.

Phase 4: IVF and Embryo Transfer (Weeks 20–26)

Before the embryo transfer, you'll begin fertility medications to prepare your uterus for implantation — typically estrogen and progesterone administered as patches, pills, or injections. The embryo transfer itself is a quick, minimally invasive procedure similar to a Pap smear. Approximately 10–14 days after the transfer, a blood pregnancy test is conducted. If the first transfer is not successful, a second transfer may be attempted.

Phase 5: Pregnancy and Delivery (Months 2–9)

Once pregnancy is confirmed, you'll continue with regular prenatal care using your own OB/GYN in most cases. All prenatal appointments and care are covered. The level of communication with intended parents varies by agreement — many attend ultrasound appointments. Your base compensation is paid in monthly installments throughout the pregnancy. Your coordinator remains your dedicated point of contact for the entire pregnancy. At delivery, watching the intended parents hold their child for the first time is something surrogates consistently describe as unlike anything else they've experienced.

Ready to start your surrogacy journey? Apply today and speak with a coordinator.

Apply to Become a Surrogate