Top 5 Questions Women Ask Before Becoming a Surrogate
Becoming a gestational surrogate is one of the most meaningful decisions a woman can make.
It is an act rooted in generosity, strength and the desire to help someone else experience the joy of parenthood. With that level of responsibility comes a natural need for clarity. Women exploring surrogacy want real answers, transparency and reassurance that their health, well-being and family will be supported every step of the way.
At Over the Rainbow Surrogacy, we hear the same thoughtful questions from prospective surrogates every day. These questions are important. They are signs of a woman who is responsible, compassionate and ready to learn. This guide breaks down the top five surrogate questions asked, along with additional FAQs and expert insight from reliable third-party sources that support informed decision-making.
Am I medically eligible to become a surrogate?
One of the first and most common surrogate questions is about medical eligibility. Women want to know if their health history, pregnancies or lifestyle make them a good fit for surrogacy.
Most surrogacy programs look for the following:
You have had at least one prior healthy, full-term pregnancy
You are between 21 and 42 years old
You are a non-smoker
You do not use drugs and have limited alcohol intake
Your BMI aligns with medical guidelines
You have no major pregnancy complications in prior births
You live in a surrogacy-friendly state
These guidelines exist to keep you safe. According to the American College of Obstetricians and Gynecologists (ACOG), prior pregnancy outcomes and overall health are strong predictors of a woman’s ability to carry safely. This is why surrogates go through a thorough medical screening before being cleared.
Over the Rainbow surrogates complete a conversational intake, followed by a psychological evaluation, medical review and OB records check. You are never rushed. Every step is explained, and we move forward only when you feel fully prepared.
How much do surrogates get compensated?
Compensation is always a top surrogate FAQ because women want clarity and fairness. Surrogacy requires time, physical energy and emotional investment. Compensation recognizes those contributions.
Compensation varies based on:
Experience as a prior surrogate
Geographic region
The intended parents’ clinic requirements
Pregnancy type (singleton or twins)
Many reputable sources, including The National Library of Medicine, note that compensation ranges across the United States but often starts around $40,000 to $60,000 with additional allowances for maternity clothing, travel and incidentals. We work hard to provide transparent, ethical compensation packages. You will see every detail upfront, including base pay, reimbursements and benefits. We also ensure you are never responsible for medical or legal expenses related to the surrogacy.
What is the medical process like?
Understanding the medical timeline is one of the most important surrogate questions. Women want to know what to expect, how long the process takes and how it affects daily life.
A typical medical process includes:
Psychological evaluation
Medical screening at the intended parents’ fertility clinic
Legal contract finalization
Medication cycle (injections, patches or pills depending on protocol)
Embryo transfer
Early pregnancy monitoring
Transition to your regular OB for prenatal care
The Mayo Clinic outlines similar steps for IVF and embryo transfer protocols, which are essential components of gestational surrogacy.
You never navigate the medical process alone. Your case manager at Over the Rainbow stays connected with you through each milestone.
Will surrogacy affect my relationship with my own family?
Many women wonder how surrogacy will impact their daily life as a parent, partner or family member. They ask whether their own children will understand or if the pregnancy will make their home life feel stressful.These concerns are healthy and common. Most surrogates report that their children and partners become their biggest supporters. Families often feel a sense of pride as they learn about kindness, helping others and what it means to give a profound gift.
The American Psychological Association (APA) notes that clear communication and emotional support are the biggest factors in navigating family dynamics during surrogacy.
We provide guidance on family conversations, emotional readiness and balancing motherhood with surrogacy. You will never feel judged or pressured. Your boundaries, your comfort and your family’s well-being matter the most.
How do I know the intended parents are a good match?
One of the most thoughtful surrogate questions is about compatibility. Women want to know:
Are the intended parents kind?
Do they share my communication style?
Will we stay in touch?
Will they respect my boundaries?
These concerns are valid, and the matching process should feel intentional and comfortable.
According to the Ethics Committee of ASRM, compatibility and open communication between surrogates and intended parents are essential for a positive experience.
Over the Rainbow focuses on thoughtful matching. You meet intended parents via Zoom. You are encouraged to ask questions, express preferences and take your time deciding. No one is matched without mutual enthusiasm and trust.
Additional Surrogate FAQ
How long does the entire surrogacy process take?
Most journeys last 12 to 18 months from application to birth. Medical timelines, legal steps and embryo availability can affect timing.
Do I need insurance to become a surrogate?
If you have a surrogacy-friendly health plan, great. If not, intended parents will purchase a plan for you. You will never be responsible for medical bills.
Can I work during surrogacy?
Yes. Most surrogates continue working unless their OB recommends restrictions.
Is the baby biologically related to the surrogate?
No. Gestational surrogacy uses the intended parents’ or donors’ embryos, not the surrogate’s eggs.
Can I choose what type of relationship I want with the intended parents?
Yes. Before matching, you can share preferences such as close communication, a balanced relationship or a more structured connection.
Expert Sources Included in This Article
American College of Obstetricians and Gynecologists (ACOG)
https://www.acog.org/womens-health/faqs/having-a-babyNational Library of Medicine
https://www.ncbi.nlm.nih.gov/books/NBK603886/Mayo Clinic IVF Guide
https://www.mayoclinic.org/tests-procedures/in-vitro-fertilization/about/pac-20384716American Psychological Association (APA)
https://www.apa.org/topics/pregnancy/third-party-reproductionAmerican Society for Reproductive Medicine (ASRM)
https://www.asrm.org
Ready to Begin Your Surrogacy Journey?
If you are a woman considering becoming a surrogate, we would be honored to support you. Over the Rainbow is built on empathy, lived experience and a deep commitment to treating every surrogate with respect.
You deserve a team that sees you, values you and walks with you every step of the way. Over the Rainbow would love to be that team.