the-six-steps-of-surrogacy-process

The Six Steps of surrogacy process: Step by step from A to Z

Saba Sharifi article author
Dr. Ali Bazazi Medical approver
January 6, 2025 Update date
The journey to parenthood is often filled with challenges, and for some, surrogacy becomes a practical and reliable solution. Whether you're exploring surrogacy for the first time or are already familiar with it, understanding the surrogacy process step by step can make a significant difference in feeling confident and prepared. This process involves legal, medical, and emotional aspects, each designed to ensure a smooth and successful journey for all parties involved. In this guide, we will break down each step clearly, offering insight into how surrogacy works and what to expect along the way.

What Exactly Is Surrogacy?

Surrogacy is a sophisticated assisted reproductive technology (ART) in which a woman, referred to as a surrogate or gestational carrier, carries and delivers a child for another individual or couple, known as the intended parents. This process is a viable solution for those unable to conceive or carry a pregnancy to term due to medical, anatomical, or social reasons. Surrogacy has gained significant importance in reproductive medicine, offering a pathway to parenthood for couples facing infertility, same-sex couples, and single individuals.
If you're considering whether surrogacy is the right option for you, explore our article, The Advantages and Disadvantages of Surrogacy in Infertility Treatment, to learn more about its pros and cons.
What Is Surrogacy? Surrogacy is an advanced reproductive method where a surrogate carries a child for intended parents. It’s a solution for those unable to conceive or carry a pregnancy, helping couples with infertility, same-sex couples, and single individuals achieve parenthood.
 

What are the Different Types of Surrogacy?

There are two main types of surrogacy: traditional surrogacy and gestational surrogacy. While both involve a surrogate carrying a child for intended parents, they differ significantly in terms of process, genetics, and legal considerations (1).

Traditional Surrogacy

Traditional surrogacy is the older and less common form of surrogacy. In this arrangement, the surrogate uses her own egg, making her the biological mother of the child. Conception typically occurs through artificial insemination, where sperm from the intended father or a donor is used. Because the surrogate is genetically connected to the baby, this type of surrogacy can be emotionally and legally complex.

This method may be chosen when the intended mother cannot provide viable eggs or when a donor egg is not an option. However, due to the genetic link between the surrogate and the child, traditional surrogacy is less common today and is often avoided due to the potential for legal disputes and emotional challenges.

Gestational Surrogacy

Gestational surrogacy is the more widely practiced and preferred option today. In this process, the surrogate carries an embryo created through in vitro fertilization (IVF). The embryo is made using eggs and sperm from the intended parents or donors, meaning the surrogate has no genetic connection to the baby.

Gestational surrogacy is popular because it offers clear legal boundaries and eliminates the emotional complexity that can arise from the surrogate’s genetic link to the child. It is a common choice for couples facing infertility, same-sex couples, or individuals who want to have a biological connection to their child through their own genetic material.

 
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Surrogacy Process Step-By-Step in 2025

In the surrogacy process step-by-step, the gestational carrier gets pregnant through in vitro fertilization (IVF). The embryo is created by fertilizing the egg and sperm of the intended parents or donors in a laboratory environment. Then the embryo is transferred to the womb of the surrogate via a catheter. After two weeks, if the pregnancy test is positive, the surrogate has been impregnated successfully. She raises the fetus in her uterus for 9 months and delivers the baby to the intended parents.
As a leading provider of fertility services, TebMedTourism plays a major role in facilitating surrogacy arrangements for couples. If you're wondering how to start surrogacy process, TebMedTourism ensures a seamless and professional journey by offering comprehensive services, including the evaluation of intended parents' medical histories, surrogate matching, legal guidance, and state-of-the-art fertility treatments such as in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), preimplantation genetic diagnosis (PGD), and preimplantation genetic screening (PGS).
TebMedTourism partners with top fertility specialists and clinics, providing advanced medical care, personalized support, and legal guidance to ensure compliance with regulations. By prioritizing cultural sensitivities and affordability, TebMedTourism has become a trusted choice for families worldwide, offering ethical surrogacy programs to make parenthood a reality.
Take the first step toward your dream of parenthood with TebMed Tourism. Contact us today for a free consultation and let our experts guide you through every step of your surrogacy journey!
When you choose TebMedTourism for your process of surrogacy, each step is carefully designed to ensure clarity, efficiency, and the best possible outcome. Below, you will find the detailed stages of the process that we follow, from initial evaluations to the final steps of securing legal parentage:

1. Pre-Operative Procedures

The pre-operative phase ensures that the intended parents, surrogate, and involved medical teams are prepared for a successful surrogacy journey. The key steps include:

Medical Records and History Evaluation:

  • A thorough review of the intended parents’ medical history, previous treatments, and current health status to ensure suitability for surrogacy.

Surrogate Selection:

  • Potential surrogates are carefully screened to assess physical, psychological, and mental health. Since gestational surrogacy does not involve the surrogate’s genetic material, these factors are prioritized over genetic considerations. Profiles of potential surrogates are shared with the intended parents for selection.

Legal Agreements and Documentation:

  • A personalized contract is drafted for the intended parents to outline roles, rights, and responsibilities.
  • A Power of Attorney (POA) allows TebMedTourism to act as the representative of the intended parents, ensuring smooth management during pregnancy or unforeseen circumstances.
  • A legal contract with the surrogate defines her obligations, rights, and compensation. Approximately 50% of her fee is deferred until post-delivery to enhance commitment.
  • Additional guarantees include securing a promissory note from the surrogate and holding her ID card until delivery.

Medical Tests for Surrogate and Egg Provider (Mother or Donor):

  • These tests ensure reproductive health and readiness for the surrogacy process.
  • General, viral, and hormonal laboratory tests.
  • Comprehensive uterine and ovarian assessments via transvaginal ultrasound.

Medical Tests for the Intended Father:

  • Focused on evaluating fertility and overall health:
  • Viral screenings for infections like Hepatitis B, Hepatitis C, and HIV.
  • Detailed semen analysis to assess sperm quality and viability.

2. Menstrual Cycle and Egg Retrieval Phase

The Menstrual Cycle and Egg Retrieval Phase is a meticulously organized 32-day journey, carefully designed to synchronize the menstrual cycle of the egg provider with the surrogacy timeline for optimal embryo preparation. This ensures the ideal conditions for embryo development and successful implantation. To provide a clear understanding, we’ve outlined each step of this phase day by day, highlighting the key medical procedures and milestones. This structured and precise approach plays a vital role in maximizing the chances of a successful outcome.

Day 1:

  • Clinical assessment by a fertility specialist.
  • Transvaginal ultrasound for baseline ovarian evaluation.
  • A customized treatment plan is prescribed, tailored to patient parameters such as age, weight, and height.

Day 2-8:

  • Initiation of ovarian stimulation medication.
  • Adjustments made during regular checkups to optimize follicular development.

Day 8-11:

  • Follicle size is monitored via transvaginal ultrasound.
  • Dosages are fine-tuned based on response to medication.

Day 14-16:

  • Egg Retrieval: A minor surgical procedure performed under sedation to collect mature eggs.
  • Sperm Collection: The intended father provides a fresh sample for fertilization.
  • IVF/ICSI: Fertilization is carried out in a controlled laboratory environment, followed by embryo culturing.

Day 17-18:

  • Embryo Transfer: Viable embryos are transferred to the surrogate’s uterus under ultrasound guidance.
  • Medications are adjusted to support implantation.

Day 31-32:

  • Pregnancy Confirmation: Blood tests (β-hCG) and ultrasounds confirm successful implantation.

Step-by-Step Guide to Menstrual Cycle and Egg Retrieval Process in Fertility Treatment

3. Pregnancy Phase

Continuous monitoring ensures the health and safety of both the surrogate and the developing fetus.

Early Pregnancy Monitoring: 

  • Initial ultrasound (approximately one week after a positive pregnancy test) to confirm the presence of the gestational sac.
  • Cardiac activity is assessed three weeks after the initial positive pregnancy test.

Routine Prenatal Care:

Comprehensive screenings, including first and second-trimester tests and cell-free fetal DNA analysis, are performed.

4. Delivery

The delivery marks the culmination of the surrogacy journey, requiring precise coordination.

Parent Arrival:

  • Intended parents are required to be present in Iran prior to delivery to receive their newborn.

Handover Process:

  • The surrogate delivers the baby to the intended parents.
  • Final compensation is provided, and all guarantees (e.g., ID card, promissory note) are returned to the surrogate.

Post-Delivery Paternity/Maternity Test:

  • DNA testing in an international genetics laboratory confirms the genetic parentage of the newborn

For detailed insights about surrogacy in Iran, we invite you to read our comprehensive article, Surrogacy in Iran, where you’ll find everything you need to know.

5. Exit Permission and Passport Acquisition

After delivery, obtaining legal documents for the newborn is critical. TebMedTourism facilitates this process with unmatched expertise in navigating Iran’s legal system. Depending on the intended parents’ nationality, TebMedTourism ensures the issuance of the necessary passport or exit permit so the family can return to their home country promptly.

Conclusion

The surrogacy journey is a well-coordinated process that involves meticulous planning and execution at every stage. From pre-operative procedures like medical evaluations and legal agreements to the menstrual cycle synchronization and egg retrieval phase, each step is carefully designed to optimize the chances of a successful outcome. The pregnancy phase ensures the health and well-being of the surrogate and the developing baby, culminating in the delivery and legal handover to the intended parents.

At TebMedTourism, we are committed to making the surrogacy process seamless, ethical, and efficient. With expert guidance and personalized care, we support intended parents through every phase, ensuring their dream of parenthood becomes a reality. Whether it's navigating legal requirements, ensuring medical precision, or managing exit permissions, TebMedTourism is your trusted partner in creating families through surrogacy.

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FAQ

In this article, we’ve aimed to provide clear and detailed explanations about the surrogacy process, breaking it down step by step to help you better understand each stage. Below, we’ve answered some of the most common questions you might have about surrogacy. We hope this guide has been helpful in giving you the information you need. If your questions are not fully answered here, feel free to leave us a comment or reach out to our consultants on WhatsApp—we’re always here to help!

How Is Surrogacy Process Done?

The surrogacy process begins with a thorough medical and psychological evaluation of the intended parents and the surrogate to ensure eligibility and health. Following legal contract finalization, ovarian stimulation is initiated for the intended mother (or egg donor) to retrieve eggs, which are fertilized with sperm through in vitro fertilization (IVF) to create embryos. The embryos undergo genetic screening, if necessary, and one or more are transferred into the surrogate's uterus during a controlled cycle. The surrogate is then monitored through regular ultrasounds and blood tests during pregnancy, leading to delivery under a prearranged birth plan.

How Long Is the Surrogacy Process?

The surrogacy process typically spans 12 to 18 months, depending on individual circumstances. This timeline includes the initial stages of medical and psychological evaluations, legal agreements, and surrogate matching, followed by the medical procedures such as ovarian stimulation, egg retrieval, fertilization through IVF, and embryo transfer. Once pregnancy is achieved, the gestational period lasts approximately 9 months, during which regular prenatal monitoring ensures the health of both the surrogate and the fetus. The process concludes with the delivery and legal establishment of parentage, which may vary based on jurisdictional requirements.

What is the first step for surrogacy?

The first step in the surrogacy is consultation and comprehensive evaluation to see if this is the best option for you. If you decide to proceed with this process, you should find an experienced surrogacy agency to help you with medical and legal work. You should also consider the laws related to surrogacy in both the destination country and your own country.

 

If you need more information on this topic and want to consult, contact us NOW.

The consultant medical doctors of TebMedTourism Co. are at your service for free.

 
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2025-01-06
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