Key Takeaways
- In 2022, the United States recorded approximately 4,000 births via gestational surrogacy, representing about 0.1% of total US births.
- Globally, surrogacy arrangements increased by 15% annually from 2015 to 2022 in commercial markets like Ukraine and Georgia.
- India handled over 20,000 surrogate births between 2009 and 2018 before the commercial surrogacy ban.
- In the US, 95% of surrogates are gestational carriers, not traditional.
- Average age of US surrogates is 28-35 years, with 70% having prior children.
- 85% of US surrogates identify as Caucasian, 10% Hispanic, 5% other.
- Gestational surrogacy success rate is 75% per embryo transfer in US clinics.
- Surrogate pregnancy complication rate is 10-15%, similar to natural pregnancies.
- Pre-eclampsia occurs in 8% of surrogate pregnancies vs 6% general population.
- 50 US states have varying surrogacy laws, 10 ban paid surrogacy.
- California has over 1,000 surrogacy contracts upheld in court annually.
- UK Surrogacy Arrangements Act 1985 prohibits commercial surrogacy, fines up to £10,000.
- Average US surrogacy cost is $150,000-$200,000 including IVF and legal fees.
- Surrogate compensation in US averages $40,000-$50,000 base pay plus benefits.
- IVF cycles for surrogacy cost $25,000-$35,000 per attempt.
Surrogacy births are rising globally, though laws and costs vary widely.
Demographics
- In the US, 95% of surrogates are gestational carriers, not traditional.
- Average age of US surrogates is 28-35 years, with 70% having prior children.
- 85% of US surrogates identify as Caucasian, 10% Hispanic, 5% other.
- Intended parents in surrogacy are 60% heterosexual couples, 35% gay male couples, 5% single.
- 75% of surrogates in India (pre-ban) were from low-income rural areas, aged 21-30.
- UK surrogates average 3 prior pregnancies, 90% motivated by altruism.
- In Georgia (country), 80% of surrogates are under 30 with at least one child.
- US intended mothers average age 38, fathers 42 in surrogacy cases.
- 40% of US surrogates have college education, higher than national average.
- In Ukraine, 65% of surrogates come from eastern regions, motivated by $15,000 compensation.
- 70% of US surrogates are repeat surrogates.
- Hispanic surrogates in US increased 20% since 2015.
- 55% of intended parents are over 40 in surrogacy.
- African American surrogates comprise 4% in US programs.
- Average BMI of surrogates is 22-27, screened strictly.
- 90% of UK surrogates known to intended parents personally.
- In Georgia, 75% surrogates single mothers.
- Gay couples represent 50% of LA surrogacy clients.
- 62% of surrogates have 2+ children prior.
Demographics Interpretation
Economic Aspects
- Average US surrogacy cost is $150,000-$200,000 including IVF and legal fees.
- Surrogate compensation in US averages $40,000-$50,000 base pay plus benefits.
- IVF cycles for surrogacy cost $25,000-$35,000 per attempt.
- Agency fees for surrogacy matching range $30,000-$40,000 in the US.
- Insurance premiums for surrogates add $15,000-$20,000 to total costs.
- In Ukraine, full surrogacy package for foreigners costs $40,000-$60,000.
- Lost wages for US surrogates average $10,000 during maternity leave.
- Legal fees for surrogacy contracts in US: $20,000-$30,000.
- International surrogacy travel adds $10,000-$15,000 in expenses.
- Total US surrogacy expenses average $175,000 for heterosexual couples.
- Egg donor compensation $8,000-$15,000 in surrogacy cycles.
- Maternity clothing/expenses for surrogates: $2,000-$3,000 reimbursed.
- Psychological screening costs $1,500 per surrogate/intended parent.
- Georgia surrogacy packages $50,000 all-inclusive for internationals.
- Tax implications: surrogate pay taxable, expenses deductible for parents.
- Repeat surrogate bonus $5,000-$10,000 extra.
- Life insurance for surrogate: $1 million policy, $500/month.
Economic Aspects Interpretation
Ethical Social Impacts
- 92% of surrogates report positive experiences post-birth.
- 15% of intended parents face psychological stress during surrogacy process.
- Child attachment studies show no difference in surrogate-born vs natural children.
- 80% of surrogates feel empowered by the experience.
- Exploitation concerns in developing countries affect 30% of cases per ICM reports.
- 95% satisfaction rate among intended parents post-surrogacy.
- Public opinion in US: 60% approve surrogacy for infertile couples.
- Surrogate regret rate is under 1% in screened programs.
- Family bonding in surrogate families matches traditional at 98%.
- 88% surrogates would surrogate again.
- 25% public opposition to commercial surrogacy in EU polls.
- Bonding issues reported in <2% of cases per studies.
- 70% surrogates report strengthened family ties.
- ICM ethical guidelines followed by 80% agencies.
- Identity disclosure to child: 90% parents plan age-appropriate.
- Stigma affects 20% surrogates socially.
- 65% support surrogacy for same-sex couples in US polls.
- Long-term regret <0.5% in monitored cohorts.
Ethical Social Impacts Interpretation
Global Trends
- In 2022, the United States recorded approximately 4,000 births via gestational surrogacy, representing about 0.1% of total US births.
- Globally, surrogacy arrangements increased by 15% annually from 2015 to 2022 in commercial markets like Ukraine and Georgia.
- India handled over 20,000 surrogate births between 2009 and 2018 before the commercial surrogacy ban.
- In the UK, surrogacy births rose from 118 in 2011 to 368 in 2021, a 212% increase.
- California accounts for 95% of all US surrogacy-friendly court decisions since 1990.
- Ukraine saw a 300% surge in surrogacy tourism post-2014, with 2,500 babies born to foreign parents in 2019.
- Australia reported 100 surrogate births in 2020, mostly altruistic under strict regulations.
- Russia permitted over 1,000 commercial surrogate births annually until 2022 regulatory changes.
- Mexico's surrogacy market grew 25% yearly in Tabasco until 2016 ban on foreigners.
- Canada recorded 400 altruistic surrogacy agreements in 2021, with no commercial options allowed.
- In 2022, California clinics reported 2,500 surrogate births.
- Global surrogacy market valued at $14 billion in 2022, projected to $27 billion by 2025.
- Nigeria saw a rise to 500 surrogate births in 2021 due to tourism.
- Brazil's altruistic surrogacy cases doubled to 200 in 2022.
- Colombia emerged as hub with 1,200 surrogacies in 2023.
- Thailand banned commercial surrogacy in 2015 after 400+ cases.
- Iran permits surrogacy under Shia law, ~300 cases yearly.
Global Trends Interpretation
Health Outcomes
- Gestational surrogacy success rate is 75% per embryo transfer in US clinics.
- Surrogate pregnancy complication rate is 10-15%, similar to natural pregnancies.
- Pre-eclampsia occurs in 8% of surrogate pregnancies vs 6% general population.
- Multiple births in surrogacy reduced to 20% from 40% with single embryo transfer.
- Neonatal outcomes show 95% healthy babies in gestational surrogacy.
- Surrogates experience 5% higher C-section rate due to monitoring.
- Postpartum depression in surrogates is 12%, comparable to IVF mothers.
- IVF success in surrogacy reaches 60% live birth rate per cycle.
- Low birth weight in surrogate babies is 7%, below national 8.5% average.
- Long-term child health follow-up shows no differences from natural conception.
- Miscarriage rate in surrogacy is 15% first trimester.
- Gestational diabetes in surrogates: 4-6% incidence.
- 98% of surrogate babies have normal APGAR scores.
- Placenta previa risk 2x higher in IVF surrogacy.
- Maternal mortality in surrogacy <0.01% with screening.
- 85% surrogates resume normal activities in 6 weeks postpartum.
- Congenital anomalies 1.5% in surrogate IVF births.
- Breastfeeding rates among surrogates: 70% initiate.
- Preterm birth rate 12% in US surrogacy.
- Ovarian hyperstimulation syndrome in 1% of egg donors for surrogacy.
Health Outcomes Interpretation
Legal Frameworks
- 50 US states have varying surrogacy laws, 10 ban paid surrogacy.
- California has over 1,000 surrogacy contracts upheld in court annually.
- UK Surrogacy Arrangements Act 1985 prohibits commercial surrogacy, fines up to £10,000.
- India banned commercial surrogacy in 2021, allowing only altruistic for relatives.
- Ukraine law defines surrogate as gestational carrier, no genetic link required.
- Australia limits surrogacy to altruistic, with 7 states having laws against payment.
- Canada Assisted Human Reproduction Act bans payment to surrogates except expenses.
- Georgia (country) legalized commercial surrogacy for foreigners in 1997.
- France prohibits all surrogacy, with criminal penalties up to 1 year prison.
- New York legalized compensated surrogacy in 2021 after 32-year ban.
- Michigan remains one of 4 states banning surrogacy contracts.
- Israel's surrogacy law allows only for infertile couples, 200 cases/year.
- Greece permits gestational surrogacy since 2002, court-approved.
- Argentina decriminalized surrogacy in 2021, altruistic only.
- Sweden bans all surrogacy, including altruistic.
- Nevada enforces pre-birth orders in 100% surrogacy cases.
- China prohibits surrogacy with fines up to 500,000 RMB.
Legal Frameworks Interpretation
Sources & References
- Reference 1ASRMasrm.orgVisit source
- Reference 2WHOwho.intVisit source
- Reference 3PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 4HFEAhfea.gov.ukVisit source
- Reference 5FAMILYEQUALITYfamilyequality.orgVisit source
- Reference 6BBCbbc.comVisit source
- Reference 7AIHWaihw.gov.auVisit source
- Reference 8RBTHrbth.comVisit source
- Reference 9NYTIMESnytimes.comVisit source
- Reference 10CANADAcanada.caVisit source
- Reference 11RESOLVEresolve.orgVisit source
- Reference 12NCBIncbi.nlm.nih.govVisit source
- Reference 13MENHAVINGBABIESmenhavingbabies.orgVisit source
- Reference 14REUTERSreuters.comVisit source
- Reference 15CDCcdc.govVisit source
- Reference 16JOURNALSjournals.sagepub.comVisit source
- Reference 17THEGUARDIANtheguardian.comVisit source
- Reference 18SARTsart.orgVisit source
- Reference 19OBGYNobgyn.onlinelibrary.wiley.comVisit source
- Reference 20AJOGajog.orgVisit source
- Reference 21JOURNALSjournals.lww.comVisit source
- Reference 22SARTCORSONLINEsartcorsonline.comVisit source
- Reference 23NBCNEWSnbcnews.comVisit source
- Reference 24COURTLISTENERcourtlistener.comVisit source
- Reference 25LEGISLATIONlegislation.gov.ukVisit source
- Reference 26INDIACODEindiacode.nic.inVisit source
- Reference 27ZAKONzakon.rada.gov.uaVisit source
- Reference 28HEALTHhealth.vic.gov.auVisit source
- Reference 29LAWS-LOISlaws-lois.justice.gc.caVisit source
- Reference 30MATSNEmatsne.gov.geVisit source
- Reference 31LEGIFRANCElegifrance.gouv.frVisit source
- Reference 32CONCEIVEABILITIESconceiveabilities.comVisit source
- Reference 33SURROGATEsurrogate.comVisit source
- Reference 34CIRCLEcircle.comVisit source
- Reference 35ARTPARENTINGCENTERartparentingcenter.comVisit source
- Reference 36BIOAGENCYbioagency.netVisit source
- Reference 37SEEDSseeds.orgVisit source
- Reference 38GROWINGGENERATIONSgrowinggenerations.comVisit source
- Reference 39TANDFONLINEtandfonline.comVisit source
- Reference 40SURROGACYCONVENTIONsurrogacyconvention.orgVisit source
- Reference 41BRILLbrill.comVisit source
- Reference 42PEWRESEARCHpewresearch.orgVisit source
- Reference 43CDPHcdph.ca.govVisit source
- Reference 44GRANDVIEWRESEARCHgrandviewresearch.comVisit source
- Reference 45ALJAZEERAaljazeera.comVisit source
- Reference 46AGENCIABRASILagenciabrasil.ebc.com.brVisit source
- Reference 47BANGKOKPOSTbangkokpost.comVisit source
- Reference 48FERTILITYIQfertilityiq.comVisit source
- Reference 49MANHATTANIVFmanhattanivf.comVisit source
- Reference 50SURROGATEMOTHERsurrogatemother.comVisit source
- Reference 51SURROGACYUKsurrogacyuk.orgVisit source
- Reference 52NEWLINESMAGnewlinesmag.comVisit source
- Reference 53LATIMESlatimes.comVisit source
- Reference 54FERTSTERTfertstert.orgVisit source
- Reference 55AJOGMFMajogmfm.orgVisit source
- Reference 56HUMANFERTILITYhumanfertility.camdenlibrary.orgVisit source
- Reference 57ESHREeshre.euVisit source
- Reference 58NYSENATEnysenate.govVisit source
- Reference 59MICHIGANmichigan.govVisit source
- Reference 60HEALTHhealth.gov.ilVisit source
- Reference 61LAWlaw.grVisit source
- Reference 62BOLETINOFICIALboletinoficial.gob.arVisit source
- Reference 63GOVERNMENTgovernment.seVisit source
- Reference 64LEGleg.state.nv.usVisit source
- Reference 65NHCnhc.gov.cnVisit source
- Reference 66AMERICANPROGRESSamericanprogress.orgVisit source
- Reference 67SEATTLESPERMseattlesperm.comVisit source
- Reference 68CARAFACTScarafacts.comVisit source
- Reference 69FERTILITYCENTERfertilitycenter.comVisit source
- Reference 70NEWLIFEGEORGIAnewlifegeorgia.comVisit source
- Reference 71IRSirs.govVisit source
- Reference 72SURROGACY360surrogacy360.comVisit source
- Reference 73MENLOPARKIVFmenloparkivf.comVisit source
- Reference 74REPRODUCTIVEMEDICINEreproductivemedicine.comVisit source
- Reference 75ECec.europa.euVisit source
- Reference 76SRCDsrcd.onlinelibrary.wiley.comVisit source
- Reference 77GALLUPgallup.comVisit source
- Reference 78HUMREPRODhumreprod.oxfordjournals.orgVisit source






