1. Strong Legal Framework

• Many U.S. states (e.g., California, Nevada, Illinois) have clear, favorable surrogacy laws.
• Intended parents can often be listed on the birth certificate from day one.
• Contracts are legally enforceable, protecting the rights of both intended parents and surrogates.

2. High Medical Standards

• The U.S. has some of the best fertility clinics in the world, offering cutting-edge IVF technology and high success rates.
• Surrogates undergo strict medical and psychological screening.

3. Citizenship for the Child

• Babies born in the U.S. are automatically granted U.S. citizenship under the 14th Amendment.
• This provides the child with long-term benefits, including visa-free travel to many countries.

4. Experienced Professionals

• There are many reputable agencies, lawyers, and doctors specializing in surrogacy.
• The process is highly structured and guided by professionals at every step.

5. Inclusive for All Family Types

• The U.S. is inclusive of heterosexual couples, same-sex couples, and single individuals.
• Legal parentage can often be established regardless of marital status or sexual orientation (depending on the state).

1. Initial Consultation

• Meet with a surrogacy agency or legal expert to understand the process, costs, legal aspects, and eligibility.
• Determine your goals (e.g., genetic connection, egg/sperm donor needed, preferred surrogate profile)

2. Legal & Medical Screening

• Intended Parents: Medical screening (especially for IVF), legal background check.
• Surrogates: Must meet strict requirements (age, previous pregnancy, health status, psychological evaluation, etc.).

3. Matching with a Surrogate

• The agency helps match you with a qualified surrogate based on preferences and compatibility.
• Both parties have a chance to meet (virtually or in person) to ensure mutual comfort and understanding.

4. Legal Contracts

• Each side (intended parents and surrogate) is represented by separate legal counsel.
• A Gestational Carrier Agreement is signed, covering:
• Compensation
• Medical procedures
• Parental rights
• Insurance
• Contingencies (e.g., multiple births, C-section)

5. IVF and Embryo Transfer

• IVF is performed using the intended parents' or donors’ gametes.
• Embryos are created and transferred to the surrogate at a fertility clinic.
• Pregnancy is confirmed after ~10–14 days via blood test.

6. Pregnancy & Monitoring

• The surrogate attends regular prenatal checkups.
• Agencies often coordinate support, updates, and travel plans.
• Intended parents may attend appointments or visit during the pregnancy.

7. Birth & Legal Parentage

• Delivery takes place in a U.S. hospital.
• Pre-birth or post-birth court orders establish intended parents’ legal rights.
• Intended parents are listed on the baby’s birth certificate (varies slightly by state).

8. Baby’s Passport & Return (for International Parents)

• Baby receives a U.S. passport (as a U.S. citizen).
• Apply for a visa, citizenship, or other legal status in the intended parents’ home country.
• Agencies often assist with embassy documentation and paperwork.