Rent-a-womb if you don’t have the time

Two stories about commercial surrogacy in India.

My personal experience with surrogacy has been very positive when it is arranged correctly. So, this is a very useful technique when properly used. Costs, legal issues and difficulty identifying a surrogate lead people to consider medical tourism for their medical care. These articles address that need.

Medical tourism refers to people who go to another country for medical services that are unavailable in their own country or are better than local services. This article focuses on surrogacy in India, where the article suggests that is easy to arrange for a surrogate if the woman (intended parent) has had difficulty delivering with IVF or the intended parent is too busy to be pregnant. In the US, we usually reserve surrogacy for situations where the woman cannot or should not be pregnant for medical reasons. Read the original story (

The cost of surrogacy is high in the US because of the fees to the surrogate, the surrogacy agency and critical legal fees.The fees for this service in India is reported to be about $25,000 US whereas in the US the costs for the surrogate fee alone are about $15,000.

Medical tourism for surrogates in India poses potential legal issues. India legalized commercial surrogacy in 2002. However, some countries do not recognize this form of surrogacy and will not provide visas for the children. There are some gaps in the law and India may modify the regulations. Read the original story (

The keys to successful surrogacy include:

  • Identify an experienced surrogacy attorney and agency
  • The experienced attorney will ensure that you have a good legal contract that addresses all the details
  • The surrogate should be healthy and she should have previously delivered a healthy baby
  • The surrogate should have access to good obstetrical care

I suggest that if you think you need a surrogate then have a consultation with your REI physician. The rate limiting step is usually identifying the surrogate and arranging the legal issues. Your attorney will then have a better idea of when you should work with the physician to get necessary medical tests and a treatment plan.

By | 2010-06-08T19:00:44+00:00 June 8th, 2010|ART/IVF, Infertility|2 Comments

About the Author:

I am a Reproductive Endocrinologist who specializes in Infertility, Ovulation Induction, IUI, Assisted Reproduction (IVF), Donor Eggs, PGD, and Fertility Preservation.


  1. jaclyn June 9, 2010 at 12:51 pm

    Verrrry interesting articles. Challenges one to think outside the box. Brings up ethical issues – as most fertility topics do. Thanks for sharing, good food for thought!

    • Dr. Michael Opsahl June 9, 2010 at 8:57 pm

      Yes, we have some patients from Canada where certain ART services are not available. I know of patients who have gone to other countries for a variety of reasons. Even medical care is going global. You are also correct that the legal and ethical questions challenge us all to rethink.

      I am adding a pot on a report from Canada that suggests that they may legislate the IVF practices and dictate the number of embryos for transfer even if that means that the patients who are paying for their medical care privately loose their autonomy. Americans would probably not want government making their medical decisions.

      Thank you for your thoughts.

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