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Livermore & the Tri-Valley · Founded by a Former Surrogate
Surrogacy in Livermoreand the Tri-Valley
Third-party medical screening. 3–6 month matching. $65,000–$90,000+ surrogate compensation. Stanford-affiliated maternity care minutes away.
Made in the USA Surrogacy, a California surrogacy agency founded by a former surrogate, serving Livermore, the Tri-Valley, and families throughout the state.
“The difference in communication and professionalism was night and day.”
— Rebecca T., intended parent
Livermore sits at the eastern edge of the Bay Area, where wine country meets one of the most highly educated communities in California. It's also one of the few cities in the Tri-Valley where no surrogacy agency has ever published a dedicated page.
Made in the USA Surrogacy is headquartered in Roseville (Sacramento metro), founded by Samantha Giermek, a former surrogate who built the agency from personal experience. Every surrogate in our program lives in California. Our screening process goes deeper than most agencies are willing to publish. And our typical match happens in 3–6 months, not the 6–12+ months that has become the industry norm.
Whether you're a woman in Livermore or the Tri-Valley considering surrogacy, or intended parents researching California agencies, this page has the specifics that other surrogacy agencies leave out.
Local Resources
Surrogacy in Livermore, California
Livermore is the largest city in the Tri-Valley, a corridor of family-oriented communities in eastern Alameda County that includes Pleasanton, Dublin, San Ramon, and Danville. For surrogacy, what matters most is what's nearby: fertility clinics, delivery hospitals, and legal infrastructure. California's surrogacy laws provide the strongest legal framework in the United States.
Fertility Clinics Serving Livermore
Reproductive Science Center (RSC) of the San Francisco Bay Area
San Ramon · ~15 min from Livermore
Over 35 years serving the Bay Area, part of the US Fertility network. Full IVF, ICSI, PGT, egg freezing, and gestational carrier surrogacy services.
RMA Northern California
Danville · ~20 min from Livermore
Part of one of the largest fertility networks in the country. Full IVF, IUI, egg freezing, ICSI, PGT, and gestational surrogacy. Telehealth consultations available.
Spring Fertility, Danville
~20 min from Livermore
Modern, patient-centric approach with IVF, IUI, and egg/embryo freezing. Also has an East Bay clinic in Oakland.
Kaiser Permanente Center for Reproductive Health
Fremont · ~25 min from Livermore
Flagship IVF clinic for Kaiser NorCal with an on-site embryology lab. IVF, ICSI, donor egg program, PGD, and fertility preservation.
Delivery Hospitals Near Livermore
Stanford Health Care Tri-Valley
Pleasanton · ~10 min from Livermore. Level II NICU staffed by Stanford Children's Hospital pediatric specialists. Delivers 1,200+ babies per year. U.S. News & World Report Best Hospital for Maternity. Private birthing suites.
San Ramon Regional Medical Center
~15 min from Livermore. Level II Special Care Nursery with neonatologist on call 24/7.
California Legal Framework
Pre-birth parentage orders mean both parents are on the birth certificate before the baby is born, regardless of marital status or genetic connection. No post-birth adoption. No waiting period. No uncertainty.
Livermore surrogates and intended parents get all of that, plus proximity to Stanford-caliber maternity care and multiple top fertility clinics within a 20-minute drive. Learn more about California surrogacy laws.
Our Difference
Why Families and Surrogates in Livermore Choose Us
No surrogacy agency has a dedicated Livermore or Tri-Valley page. Here's why MUSA is different from agencies that “serve your area” from across the state or across the country.
Third-Party
Medical Screening
Screening That Goes Beyond the Basics
Every surrogate in our program completes comprehensive medical evaluation including third-party IVF nurse review of complete OB/GYN records for all pregnancies—not just the most recent. Every candidate also undergoes psychological assessment, financial stability verification, background screening, and unannounced nicotine testing.
We do this because the quality of the match matters to everyone involved—surrogates, intended parents, and the baby. A thorough process protects all three.
Every Surrogate Lives in California
No cross-state coordination. No conflicting laws. No ambiguity about which legal framework applies. When your surrogate is a California resident, the entire journey stays within the strongest legal protections in the country.
Many of our surrogates live in the Bay Area and East Bay, which means proximity to Tri-Valley fertility clinics and Stanford Health Care Tri-Valley for delivery.
100%
California-Based
3–6 Months
Avg. Match Time
Matching in 3–6 Months, Not 6–12+
The industry average is 6–12 months or longer. We typically match families in 3–6 months because our surrogate compensation—$65,000–$90,000+ total—attracts a deeper pool of qualified candidates.
More candidates means more potential matches. More matches means faster, better outcomes for everyone.
Founded by a Former Surrogate
Samantha Giermek became a surrogate before she built this agency. She knows what the process feels like from the inside, what support actually looks like versus what agencies claim it looks like. That experience shapes everything from how we screen to how we communicate. Read more about our story.
“We had been with another agency for over a year without a match. Within four months of switching to Made in the USA, we were matched with an incredible surrogate. The difference in communication, screening transparency, and overall professionalism was night and day.”
— Rebecca T., intended parent
Since 2017
Surrogate-Founded
For Surrogates
Become a Surrogate in Livermore
If you're a woman in Livermore or the Tri-Valley considering surrogacy, you're probably weighing two things at once: whether it's meaningful enough to commit your body and time to, and whether it's financially worth it. At Made in the USA Surrogacy, we don't ask you to choose. Both matter.
Surrogate compensation: $65,000–$90,000+. First-time surrogates start at $65,000+ base. Experienced surrogates start at $70,000+. In a high-cost-of-living area like the Tri-Valley, that compensation can make a real difference for your family.
Benefits of Becoming a Surrogate
Full health insurance coverage
All pregnancy-related medical care, paid by the intended parents.
Monthly allowances
Maternity clothing, housekeeping, and childcare during appointments.
Independent legal representation
Paid for by intended parents, to protect your rights throughout the process.
Dedicated case manager support
From application through postpartum, including a direct line to someone who understands what you're going through.
The experience itself
Surrogacy is one of the most meaningful things you can do for another family, and the relationships built during the journey often last well beyond delivery.
What the Process Looks Like
Application
Takes about 10 minutes. We review your basic qualifications and health history.
Screening
Medical records review, psychological assessment, background check. Our team walks you through every step.
Matching
We connect you with intended parents based on values, preferences, and compatibility, not just availability.
Medical clearance
Your fertility clinic, such as RSC in San Ramon or RMA in Danville, confirms you're ready for the transfer process.
Legal
Independent legal representation for you, paid for by the intended parents. Your rights and compensation are formalized before anything medical begins.
Pregnancy and delivery
Ongoing support from your case manager throughout. Stanford Health Care Tri-Valley in Pleasanton, just 10 minutes from Livermore, is the primary delivery hospital with a Level II NICU and Stanford-affiliated neonatologists.
Surrogacy is physically demanding, emotionally complex, and not for everyone. We're honest about that. But for the right person, it's one of the most significant things you can do—and it can provide real financial stability for your family while you do it.
For full details, visit our surrogate requirements page or see the complete compensation breakdown.
For Intended Parents
Find a Surrogate in Livermore
For intended parents, choosing a surrogacy agency is one of the most consequential decisions in the process. You're trusting an organization to screen the person who will carry your child, manage the logistics of a journey that can span more than a year, and be there when the unexpected happens.
Made in the USA Surrogacy works with intended parents across California and nationwide. Every surrogate in our program is a California resident, and our comprehensive screening—including third-party IVF nurse review and complete pregnancy history evaluation—is designed to protect your family from the start. Our journey success rate is 99.3%–99.5%.
Our surrogates complete one of the most comprehensive screening processes in the industry. Combined with a 99.3%–99.5% success rate on embryo transfers with our surrogates, that screening translates to outcomes you can feel confident about.
How the Process Works for Intended Parents
Free consultation
A conversation about your goals, timeline, and questions. No pressure, no commitment.
Matching
We identify surrogate candidates aligned with your preferences, values, and medical needs. Typical timeline: 3–6 months.
Medical clearance
Your fertility clinic evaluates the surrogate's readiness for embryo transfer.
Legal agreements
Both parties receive independent legal counsel. Contracts are finalized before any medical procedures.
Embryo transfer and pregnancy
Coordinated with your fertility clinic and supported by our team throughout.
Birth and parentage
California's pre-birth parentage order means both parents are on the birth certificate before delivery.
The full journey from consultation to birth is typically 18–24 months. Our step-by-step surrogacy process page has the complete breakdown.
Investment
Livermore Surrogacy Costs
Total surrogacy investment typically starts at $160,000+, covering surrogate compensation, agency fees, IVF and medical expenses, legal fees, and insurance.
Total Estimated Investment
$160,000+
California's clear legal framework can simplify, and in some cases reduce, legal costs compared to states where surrogacy law is less established. And higher surrogate compensation isn't just a line item; it attracts more qualified candidates, which can mean fewer complications and a smoother journey overall.
For a full breakdown, visit our detailed cost guide.
Tri-Valley Coverage
Serving the Tri-Valley and Beyond
We serve families and surrogates throughout Livermore, the Tri-Valley, and all of California.
Learn more about surrogacy in California across all the cities we serve.
Questions
Frequently Asked Questions
Is surrogacy legal in Livermore, California?
Yes. California has the most protective surrogacy laws in the United States. Pre-birth parentage orders allow both intended parents to be listed on the birth certificate before the baby is born, regardless of genetic connection or marital status. There is no post-birth adoption required. See our full California surrogacy laws.
How much does surrogacy cost in Livermore?
Total surrogacy costs typically start at $160,000 and can exceed $200,000 depending on medical needs and the number of transfer cycles. This includes surrogate compensation, agency fees, IVF, legal fees, and insurance. See our full surrogacy cost breakdown.
How do I become a surrogate in Livermore?
Start with a 10-minute application. General requirements include being 21–40 years old, having carried at least one pregnancy to term, having a healthy pregnancy history, being a non-smoker, and having a stable living situation. Our team walks you through each step of screening, matching, and medical clearance. See our full surrogate requirements.
Are there fertility clinics near Livermore that work with surrogacy agencies?
Yes. Livermore is within 15–20 minutes of several top fertility clinics, including Reproductive Science Center (RSC) in San Ramon, RMA Northern California in Danville, and Spring Fertility in Danville. Kaiser Permanente’s Center for Reproductive Health in Fremont is approximately 25 minutes away. Stanford Health Care Tri-Valley in Pleasanton, just 10 minutes from Livermore, is the primary delivery hospital for the area.
How much do surrogates earn in Livermore, California?
At Made in the USA Surrogacy, total surrogate compensation ranges from $65,000 to $90,000+. First-time surrogates start at $65,000+ base, and experienced surrogates start at $70,000+ base, with additional allowances throughout the journey. See our full compensation details.
Start a Conversation
“I researched surrogacy agencies for months before applying. What stood out about Made in the USA was the transparency. They told me exactly what to expect with the screening, the timeline, and the compensation. My coordinator was available whenever I had questions, and I never felt like just another file on someone's desk.”
— Danielle K., surrogate, Bay Area
Whether you're exploring surrogacy for the first time or comparing agencies, we'd rather answer your questions honestly than pitch you on a decision you're not ready to make.
For Surrogates
The application takes about 10 minutes. No commitment. It's the first step in finding out if surrogacy is right for you.
See If You QualifyFor Intended Parents
A free consultation is a conversation, not a sales call. We'll walk through your situation and answer your questions, even if next steps aren't with us.
Free ConsultationMade in the USA Surrogacy is headquartered in Roseville, California (Sacramento metro). Founded by Samantha Giermek, a former surrogate. Serving families and surrogates throughout California, including Livermore, Pleasanton, Dublin, San Ramon, Danville, Fremont, and the entire Tri-Valley.
