How to Become a Surrogate: A Complete Guide
Becoming a surrogate is a rewarding and life-changing journey that allows women to help
intended parents achieve their dream of having a child. If you’ve ever asked, “How do you
become a surrogate?” or “What are the requirements to be a surrogate?” this guide will walk you
through everything you need to know about being a surrogate.
What is a Surrogate?
A surrogate is a woman who carries a pregnancy on behalf of another individual or couple who
cannot conceive or carry a pregnancy themselves. There are two main types of surrogacy:
Gestational Surrogacy: The surrogate carries an embryo created through in vitro
fertilization (IVF) using the intended parents’ or donors’ genetic material. The surrogate
has no genetic relation to the baby.
Traditional Surrogacy: The surrogate uses her own egg and is artificially inseminated
with the intended father’s sperm. Traditional surrogacy is less common due to legal and
emotional complexities.
Most surrogacy agencies and clinics primarily facilitate gestational surrogacy.
How Do You Become a Surrogate?
The surrogacy process involves several steps, from meeting eligibility requirements to carrying
and delivering the baby. Below is an overview of the journey:
Step 1: Meet the Requirements to Be a Surrogate
Before applying to become a surrogate, it’s important to ensure you meet the necessary
qualifications. Here are the common criteria:
Physical Requirements:
Must be between 21-43 years old (some agencies may have a lower age limit of 39)
Have given birth to at least one full-term, healthy baby
No history of pregnancy complications (e.g., pre-eclampsia, gestational diabetes, pre-
term delivery)
Body Mass Index (BMI) below 32
Free of smoking, drug use, or excessive alcohol consumption
Not currently on public assistance (with exceptions for assistance related to a disabled
child)
Must live in a surrogacy-friendly state in the U.S.
Medical Requirements:
Undergo a full medical exam, including bloodwork, ultrasounds, and screenings
Be free from chronic conditions that could affect pregnancy, such as diabetes or
hypertension
Be able to pass a psychological evaluation
Legal and Lifestyle Requirements:
Must be a U.S. citizen or legal resident
Undergo a background check (spouse/partner included)
Have independent legal counsel specializing in third-party reproduction
Have health insurance coverage or be willing to obtain a policy that covers surrogacy
Step 2: Choose an Agency or Independent Surrogacy
Once you’ve determined that you meet the requirements, the next step is deciding whether to
work with an agency or pursue independent surrogacy.
Agency Surrogacy: Most surrogates work with an agency, which provides matching
services, legal and medical coordination, and emotional support.
Independent Surrogacy: This route involves directly connecting with intended parents
and handling the legal and medical arrangements yourself. While it can offer higher
compensation, it requires more effort and legal knowledge.
Step 3: The Matching Process
Agencies will help match surrogates with intended parents based on preferences, expectations,
and compatibility. The process includes:
Psychological screening and counseling for both parties
Meeting with intended parents (virtually or in person)
Establishing agreements on communication, compensation, and expectations
Step 4: Legal Agreements
A surrogacy contract is drafted to outline legal responsibilities, parental rights, compensation,
and medical decisions. Both parties must have independent legal representation to protect their
interests.
Step 5: Medical Screenings & Embryo Transfer
Once legal contracts are signed, medical procedures begin:
The surrogate undergoes a thorough medical screening at a fertility clinic.
Hormonal medications prepare the surrogate’s body for embryo transfer.
The embryo transfer procedure is performed at an IVF clinic.
A pregnancy test follows within two weeks to confirm implantation.
Step 6: Pregnancy & Prenatal Care
During pregnancy, surrogates receive regular prenatal care, maintain communication with
intended parents, and follow medical guidelines to ensure a healthy pregnancy.
Step 7: Delivery & Postpartum Support
Once the baby is delivered, intended parents assume legal custody. Surrogates may receive
postpartum care and emotional support through agencies or personal networks.
Compensation for Being a Surrogate
Surrogacy compensation varies based on experience, location, and agency policies.
Compensation packages typically include:
Base pay (ranges from $40,000 to $100,000+ depending on state and experience)
Monthly allowances
Medical and travel expenses
Legal fees
Lost wages (if applicable)
Final Thoughts
Becoming a surrogate is a profound commitment that requires careful consideration. If you meet
the requirements and feel emotionally and physically prepared, surrogacy can be a life-changing
experience for both you and the intended parents. If you're interested, start by researching
reputable surrogacy agencies or consulting with legal and medical professionals to ensure a
smooth journey.
Are you ready to begin your surrogacy journey? Apply with Over The Rainbow today and
take the first step toward making a family’s dream come true!
