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The Surrogacy Process
Your Journey, Step by Step
From application to delivery, we walk beside you every step of the way. Here is exactly what to expect when you become a surrogate with Made in the USA Surrogacy.
Timeline Overview
Most surrogacy journeys take 12-18 months from application to delivery. Here is a quick look at each phase.
Application
1-3 months (varies by case)
Matching
Typically immediate
Medical & Psychological Screening
1-3 months (varies by case)
Legal Contracts
~1 month
Medical Cycle & Embryo Transfer
~1 month
Pregnancy
9 months
Delivery & Beyond
1-2 weeks postpartum
Phase 1
Application
Your journey begins here. Submit your application and complete an initial phone screen with our team.
4Key Steps in This Phase
- Complete online application (15-20 minutes)
- Phone interview with our surrogate coordinator
- Submit initial medical records and photos
- Background check initiated
Phase 2
Matching
Most candidates are matched almost immediately upon approval. In some cases, matching may take longer based on specific preferences.
4Key Steps in This Phase
- Review potential intended parent profiles
- Video call introduction with your match
- Discuss expectations, communication, and birth preferences
- Mutual agreement to proceed
Phase 3
Medical & Psychological Screening
Comprehensive screening at the IVF clinic to ensure you are medically and emotionally ready.
5Key Steps in This Phase
- Full OB/GYN records review by third-party IVF nurse
- Medical exam at the fertility clinic
- Psychological evaluation with a licensed therapist
- FDA-required infectious disease testing
- Uterine evaluation (saline sonogram or hysteroscopy)
Phase 4
Legal Contracts
Work with your independent attorney to review and sign the surrogacy agreement.
4Key Steps in This Phase
- Independent legal counsel provided (fully covered)
- Review of all terms, compensation, and expectations
- Escrow account funded by intended parents
- Contract signing — you receive your first payment
Phase 5
Medical Cycle & Embryo Transfer
Prepare your body for pregnancy and undergo the embryo transfer procedure.
5Key Steps in This Phase
- Begin injectable medications to prepare your uterine lining
- Regular monitoring appointments at a local clinic
- Travel to the IVF clinic for embryo transfer (if needed)
- Embryo transfer — a quick, painless procedure
- Two-week wait before pregnancy test
Phase 6
Pregnancy
Carry the pregnancy with full support from our team and your intended parents.
5Key Steps in This Phase
- Regular OB appointments (coordinated with your schedule)
- Monthly check-ins with your surrogate coordinator
- Ongoing communication with intended parents (per your agreement)
- Monthly allowance payments throughout pregnancy
- 24/7 support line for any questions or concerns
Phase 7
Delivery & Beyond
Welcome the baby and transition as the intended parents take over care.
5Key Steps in This Phase
- Deliver at your chosen hospital
- Intended parents present for birth (per your preference)
- Pre-birth parentage order ensures smooth handoff
- Final payments processed within 30 days
- Post-journey support and community access
We Match Before Screening
Unlike some agencies that put you through invasive medical testing before you have even met your intended parents, we believe in matching first. This means you will know exactly who you are helping before the intensive screening phase begins.
❌ Other Agencies
Screen first, match later. You invest weeks of medical appointments with no guarantee of a match — and may never connect with the family you are helping.
✓ Made in the USA
Match first, screen together. You meet your intended parents early and go through medical screening as a team. It builds trust from day one.
Support at Every Step
You are never alone on this journey. From your first phone call to months after delivery, our team is here for you.
Dedicated Surrogate Coordinator
One consistent point of contact who knows your journey inside and out.
24/7 Support Line
Questions at 2 AM? Concerns on a weekend? We are always reachable.
Surrogate Community
Connect with other surrogates who understand what you are experiencing.
Post-Journey Support
Our relationship does not end at delivery. We are here for whatever comes next.
Common Questions About the Process
How long does the whole process take?
From application to delivery, most journeys take 12-18 months. The matching phase (3-6 months) often depends on your preferences and availability.
Will I have to travel for medical appointments?
Most monitoring appointments happen at a clinic near you. You may need to travel to the IVF clinic for the embryo transfer (1-3 days), with all expenses covered.
Can I work during my surrogacy journey?
Yes, most surrogates continue working throughout their pregnancy. We coordinate appointments around your schedule, and any lost wages are reimbursable.
What if I do not feel a connection with my matched parents?
The match is mutual. If either party does not feel the connection is right, we will find a better fit. It is important that you feel comfortable with the family you are helping.
What happens after the baby is born?
The intended parents take the baby home (often the same day). You recover at the hospital, receive your final payments within 30 days, and have access to post-journey support and our surrogate community.
Ready to Begin Your Journey?
The first step is simple: complete your application. From there, we will guide you through every phase.
Ready to Become a Surrogate?
Join our community of compassionate women making dreams come true. We provide comprehensive support throughout your surrogacy journey.
