International Surrogacy: Pros, Cons, and Considerations

Navigating Parenthood Across Borders
For individuals and couples facing infertility, same-sex couples, or single intended parents, surrogacy can offer a life-changing path to parenthood. In some cases, that path may lead abroad. International surrogacy—also known as cross-border surrogacy—refers to working with a surrogate in another country. It can offer unique advantages, but also complex legal, ethical, and logistical challenges. At Reproductive Centers of America (RCA), we believe in informed, ethical, and compassionate fertility care. If you’re considering surrogacy beyond your borders, here’s what you need to know.
Why Some Choose International Surrogacy
1. Lower Costs
In countries like Ukraine (pre-war), Colombia, or parts of Asia, the total cost of surrogacy can be significantly lower than in the U.S.—sometimes by tens of thousands of dollars.
2. Legal Restrictions at Home
In some states or countries, surrogacy may be illegal, highly restricted, or not available to single individuals or LGBTQ+ couples. International options may be more inclusive.
3. Availability of Surrogates
Wait times for matched surrogates can be shorter in some countries compared to domestic programs.
4. Global Family-Building Support
Some agencies specialize in helping international intended parents navigate language, travel, and cultural nuances.
Pros and Potential Benefits
- Affordability compared to U.S. costs
- Shorter waitlists for surrogate matching
- Inclusive programs for same-sex couples and single parents in some countries
- Well-established medical systems in certain regions (e.g., Canada, Mexico, Argentina)
- Dual citizenship possibilities for children born abroad (depending on destination and home country)
Cons and Complexities
1. Legal Uncertainty
Laws vary drastically across countries—and can change quickly. You may face:
- Difficulty establishing parental rights
- Delays in bringing your child home
- Conflicts between your country’s laws and the surrogate’s
2. Ethical Concerns
Critics of international surrogacy raise questions about:
- Exploitation or coercion of women in lower-income countries
- Lack of regulation or oversight
- Inadequate protection for surrogates or intended parents if complications arise
3. Language and Cultural Barriers
Miscommunication or different expectations can lead to confusion or delays in care.
4. Travel and Logistics
You’ll likely need to travel for embryo transfer, birth, or legal processes—possibly on short notice. You may also face unexpected medical or geopolitical disruptions.
Key Considerations Before Pursuing International Surrogacy
- Legal counsel in both countries is essential—ideally with surrogacy expertise.
- Understand the citizenship and passport process for your child.
- Work with reputable, transparent agencies with proven experience.
- Ensure surrogates receive fair compensation, independent legal counsel, and quality healthcare.
- Be emotionally prepared for unexpected delays or changes.
- Have a backup plan for emergencies, war, or travel bans (especially post-pandemic or in unstable regions).
Ethics and Empathy
Choosing international surrogacy isn’t just a financial decision—it’s a human one. Wherever your child is born, surrogacy involves real people, real bodies, and real trust.
At RCA, we believe in upholding:
- Informed consent
- Fair treatment of surrogates
- Transparency in contracts, expectations, and care
- The belief that every child’s story should begin with dignity
Is International Surrogacy Right for You?
It can be a beautiful, life-affirming path—if you’re equipped with the right team, legal protection, and ethical awareness. Whether you’re just exploring or actively planning, we’re here to help.
Thinking globally about growing your family?
Why Some Choose International Surrogacy
1. Lower Costs
In countries like Ukraine (pre-war), Colombia, or parts of Asia, the total cost of surrogacy can be significantly lower than in the U.S.—sometimes by tens of thousands of dollars.
2. Legal Restrictions at Home
In some states or countries, surrogacy may be illegal, highly restricted, or not available to single individuals or LGBTQ+ couples. International options may be more inclusive.
3. Availability of Surrogates
Wait times for matched surrogates can be shorter in some countries compared to domestic programs.
4. Global Family-Building Support
Some agencies specialize in helping international intended parents navigate language, travel, and cultural nuances.
Pros and Potential Benefits
- Affordability compared to U.S. costs
- Shorter waitlists for surrogate matching
- Inclusive programs for same-sex couples and single parents in some countries
- Well-established medical systems in certain regions (e.g., Canada, Mexico, Argentina)
- Dual citizenship possibilities for children born abroad (depending on destination and home country)
Cons and Complexities
1. Legal Uncertainty
Laws vary drastically across countries—and can change quickly. You may face:
- Difficulty establishing parental rights
- Delays in bringing your child home
- Conflicts between your country’s laws and the surrogate’s
2. Ethical Concerns
Critics of international surrogacy raise questions about:
- Exploitation or coercion of women in lower-income countries
- Lack of regulation or oversight
- Inadequate protection for surrogates or intended parents if complications arise
3. Language and Cultural Barriers
Miscommunication or different expectations can lead to confusion or delays in care.
4. Travel and Logistics
You’ll likely need to travel for embryo transfer, birth, or legal processes—possibly on short notice. You may also face unexpected medical or geopolitical disruptions.
Key Considerations Before Pursuing International Surrogacy
- Legal counsel in both countries is essential—ideally with surrogacy expertise.
- Understand the citizenship and passport process for your child.
- Work with reputable, transparent agencies with proven experience.
- Ensure surrogates receive fair compensation, independent legal counsel, and quality healthcare.
- Be emotionally prepared for unexpected delays or changes.
- Have a backup plan for emergencies, war, or travel bans (especially post-pandemic or in unstable regions).
Ethics and Empathy
Choosing international surrogacy isn’t just a financial decision—it’s a human one. Wherever your child is born, surrogacy involves real people, real bodies, and real trust.
At RCA, we believe in upholding:
- Informed consent
- Fair treatment of surrogates
- Transparency in contracts, expectations, and care
- The belief that every child’s story should begin with dignity
Is International Surrogacy Right for You?
It can be a beautiful, life-affirming path—if you’re equipped with the right team, legal protection, and ethical awareness. Whether you’re just exploring or actively planning, we’re here to help.
Thinking globally about growing your family?