Got Questions?

The Top 50 Surrogacy Questions

Answered by Expect Miracles Surrogacy, stage by stage

Stage 1 — Screening & Matching

Who qualifies to become a surrogate?

At Expect Miracles Surrogacy, we welcome women who are between 21 and 40 years old, have given birth to at least one healthy child, and are in strong physical and emotional health. Every surrogate must pass medical clearance with a reproductive endocrinologist and, in many cases, a maternal-fetal medicine specialist to ensure a safe journey. Our team also personally supports you through the screening process, so you always know what to expect.

What medical clearance does a surrogate need?

Surrogates at Expect Miracles Surrogacy go through a complete medical evaluation. This includes reviewing past pregnancies, bloodwork, ultrasounds, and meeting with a fertility doctor. We coordinate with maternal-fetal medicine specialists if there are unique risk factors. Our role is to walk with you step by step, making sure you understand every requirement and feel supported, not overwhelmed.

What role does a case manager play in surrogacy?

At Expect Miracles Surrogacy, your case manager is your lifeline. From the first profile review to delivery day, they are the person you can call, text, or email with any question. They coordinate with doctors, lawyers, and intended parents, ensuring nothing slips through the cracks. Surrogates often tell us their case manager felt like a ‘second sister’ during the journey.

Why do surrogates meet with a Maternal-Fetal Medicine (MFM) doctor before approval?

Many surrogates at Expect Miracles Surrogacy are asked to see an MFM as part of the clearance process. An MFM specializes in high-risk pregnancies and ensures your body is ready for another healthy pregnancy. Even if you’ve had easy pregnancies before, this step gives peace of mind for everyone — you, the intended parents, and our team.

What do intended parent coordinators do?

At Expect Miracles Surrogacy, intended parent coordinators guide hopeful parents through every step of the process. They prepare profiles, explain requirements, and provide emotional support as parents search for their surrogate match. This role mirrors the support our surrogates receive, so both sides of the journey feel equally cared for.

How do mental health professionals evaluate surrogates?

We work with licensed psychologists who specialize in third-party reproduction. At Expect Miracles Surrogacy, this isn’t a test you pass or fail — it’s a chance to talk openly about motivations, family support, and expectations. The psychologist ensures you’re emotionally ready for surrogacy, and our team stays close by, offering guidance before and after the evaluation.

What legal documents are required before surrogacy begins?

We work with licensed psychologists who specialize in third-party reproduction. At Expect Miracles Surrogacy, this isn’t a test you pass or fail — it’s a chance to talk openly about motivations, family support, and expectations. The psychologist ensures you’re emotionally ready for surrogacy, and our team stays close by, offering guidance before and after the evaluation.

How does Expect Miracles Surrogacy match surrogates with intended parents?

Matching at Expect Miracles Surrogacy is a deeply personal process. We don’t use algorithms or rush introductions. Instead, we spend time getting to know you — your story, your values, and your hopes for the journey. Surrogates and intended parents review detailed profiles, then we guide you through conversations until the connection feels natural. Our goal is that when you meet, you feel not just matched, but aligned like family.

What financial checks are done before matching?

We believe surrogacy should never put a surrogate or her family at financial risk. At Expect Miracles Surrogacy, intended parents must show proof of funds for the entire journey before a match is confirmed. We also set up a licensed escrow account before contracts are signed, so every surrogate knows compensation and reimbursements are secure.

How long does the surrogacy matching process take?

At Expect Miracles Surrogacy, matching timelines vary depending on preferences and availability. Some surrogates match within a few weeks, while others may take several months if they have specific requests. What matters most is finding the right fit. Our team guides you through each step, so whether your match is quick or takes time, you never feel alone in the waiting process.

Stage 2 — IVF & Embryo Transfer

Who is a reproductive endocrinologist in surrogacy?

At Expect Miracles Surrogacy, your reproductive endocrinologist (REI) is the fertility doctor who oversees the entire IVF cycle. They prescribe medications, monitor your body’s response, and perform the embryo transfer. We partner with top REIs nationwide and walk you through every appointment so you feel cared for, not just like another patient.

What does an embryologist do with embryos?

Embryologists are the scientists who protect and nurture embryos in the lab. At Expect Miracles Surrogacy, we explain exactly what happens behind the scenes — from fertilization to growth monitoring to freezing or testing embryos. We make sure you and your intended parents understand how these delicate steps connect to your journey.

How does genetic testing (PGT/PGS) work in surrogacy?

Genetic testing, often called PGT or PGS, checks embryos for chromosomal health before transfer. At Expect Miracles Surrogacy, we ensure you and your intended parents know what the results mean and how they influence which embryo is chosen. This step can reduce the risk of miscarriage and increase the chance of a healthy pregnancy.

What role does an andrologist play in surrogacy?

An andrologist specializes in male fertility and sperm health. At Expect Miracles Surrogacy, we work with clinics whose andrology teams test, prepare, and sometimes freeze sperm samples for IVF. This behind-the-scenes role is essential to making strong embryos and ensuring the best outcome for transfer.

Who prepares the surrogate for embryo transfer?

Your fertility nurse, under the guidance of the REI, prepares your body for transfer with medications, bloodwork, and ultrasounds. At Expect Miracles Surrogacy, we make sure you always have clear medication instructions and emotional support during this intense time. Our case managers check in frequently so you never feel alone leading up to transfer day.

What happens during embryo transfer day?

Embryo transfer is a quick and usually painless procedure done by the REI. At Expect Miracles Surrogacy, we prepare you step by step — from arriving at the clinic to understanding how the embryo is placed into your uterus with a thin catheter. Intended parents are often present, making this a joyful milestone filled with hope and emotion.

How do escrow agents manage surrogate payments?

At Expect Miracles Surrogacy, all financial arrangements are handled through a licensed escrow company. They track reimbursements, compensation, and medical costs. This ensures transparency and security, so surrogates never have to worry about payments — everything is documented and released on schedule.

What kind of insurance coverage is needed for surrogacy?

Surrogacy journeys require health insurance that covers maternity care, as well as optional policies for life insurance and complications. At Expect Miracles Surrogacy, our insurance team reviews every surrogate’s policy in detail, helping intended parents secure coverage if needed. We make sure no one is left unprotected financially or medically.

What medications do surrogates take before transfer?

Surrogates take a combination of hormones like estrogen and progesterone to prepare the uterus for embryo implantation. At Expect Miracles Surrogacy, we provide clear calendars and one-on-one guidance so you feel comfortable with each injection or pill. Our community of experienced surrogates often shares tips to make medication schedules easier to manage.

Who explains IVF results to intended parents and surrogates?

The REI and clinic team share lab results after each step — from egg retrieval to embryo development to pregnancy tests. At Expect Miracles Surrogacy, we also review these results with you in plain language. Our role is to make sure nothing feels confusing, so both surrogates and intended parents understand what the numbers mean for their journey ahead.

Stage 3 — Pregnancy

Why do many surrogates see both OBs and MFMs?

At Expect Miracles Surrogacy, many surrogates see both an obstetrician (OB) and a maternal-fetal medicine specialist (MFM). The OB manages routine prenatal care, while the MFM provides extra monitoring for high-risk or IVF-related pregnancies. We help coordinate these appointments so surrogates feel supported by a team that prioritizes safety and reassurance.

How often are ultrasounds during a surrogate pregnancy?

At Expect Miracles Surrogacy, many surrogates see both an obstetrician (OB) and a maternal-fetal medicine specialist (MFM). The OB manages routine prenatal care, while the MFM provides extra monitoring for high-risk or IVF-related pregnancies. We help coordinate these appointments so surrogates feel supported by a team that prioritizes safety and reassurance.

What do nutritionists recommend for surrogate pregnancies?

At Expect Miracles Surrogacy, we often connect surrogates with nutritionists who recommend balanced diets rich in protein, whole grains, fruits, and vegetables. They may also advise on supplements like folic acid or iron. Our team checks in regularly to ensure surrogates have the resources they need to stay healthy and energized.

Can surrogates work with doulas and midwives?

Yes, many surrogates choose additional support from doulas or midwives. At Expect Miracles Surrogacy, we encourage surrogates to explore these options if they bring comfort and confidence. We make sure all care providers coordinate with the OB and hospital to keep the journey seamless.

What mental health support is offered during surrogacy?

Emotional health is just as important as physical health. At Expect Miracles Surrogacy, surrogates have access to licensed mental health professionals who specialize in third-party reproduction. We also offer peer support through our surrogate community, where experienced women share encouragement and advice.

What is the case manager’s role during pregnancy?

At Expect Miracles Surrogacy, the case manager stays closely involved throughout pregnancy. They schedule check-ins, help communicate medical updates to intended parents, and step in if any challenges arise. Surrogates often describe their case manager as their constant advocate and bridge between all the professionals involved.

What happens if complications arise during a surrogate pregnancy?

At Expect Miracles Surrogacy, the case manager stays closely involved throughout pregnancy. They schedule check-ins, help communicate medical updates to intended parents, and step in if any challenges arise. Surrogates often describe their case manager as their constant advocate and bridge between all the professionals involved.

Who communicates updates between surrogates and intended parents?

At Expect Miracles Surrogacy, case managers take the lead in communication. They relay medical updates, share ultrasound results, and help coordinate intended parent involvement. This ensures consistency, avoids miscommunication, and helps surrogates and parents focus on building a positive relationship.

How do hospitals prepare for surrogate deliveries?

Our team at Expect Miracles Surrogacy works directly with hospitals to prepare for delivery day. We make sure staff understand the surrogacy arrangement, prepare separate recovery and bonding rooms if needed, and coordinate with social workers to handle paperwork. This preparation helps the birth experience feel smooth and respectful for everyone.

What rights do intended parents have during prenatal care?

At Expect Miracles Surrogacy, intended parents are treated as key decision-makers once legal contracts are in place. They are invited to attend appointments, receive medical updates, and make choices about the pregnancy alongside the surrogate’s medical team. We help balance involvement with respect for the surrogate’s comfort and boundaries.

Stage 4 — Birth

Who attends the surrogate’s delivery?

At Expect Miracles Surrogacy, delivery day is a shared milestone. Surrogates are supported by their medical team, often their own family or partner, and the intended parents if everyone is comfortable. We work with the hospital in advance to confirm who will be present so the surrogate feels supported and the intended parents feel included.

What role do NICU teams play in surrogate births?

If a baby is born early or needs extra care, the NICU (neonatal intensive care unit) team steps in immediately. At Expect Miracles Surrogacy, we prepare families by explaining NICU protocols and helping them feel informed. Our case managers stay close during NICU stays, supporting both surrogates and intended parents emotionally and logistically.

How do hospital social workers help surrogates and intended parents?

Hospital social workers ensure that the transition at delivery is smooth. At Expect Miracles Surrogacy, we coordinate with social workers so discharge paperwork, parental rights, and support services are in place. This helps surrogates focus on recovery and intended parents focus on bonding with their baby.

Who is listed on the baby’s birth certificate?

At Expect Miracles Surrogacy, intended parents are listed on the baby’s birth certificate, once legal steps such as pre-birth or post-birth orders are in place. We guide parents through the legal process ahead of delivery so the paperwork reflects their rightful role as parents immediately or as soon as possible.

Can intended parents be in the delivery room?

Yes, when the surrogate is comfortable and hospital policy allows, intended parents are welcome in the delivery room. At Expect Miracles Surrogacy, we prepare both parties ahead of time to set expectations. Our goal is to make delivery day meaningful for everyone while ensuring the surrogate feels safe and respected.

What legal steps happen at the hospital after a surrogate birth?

Legal steps vary by state, but generally involve confirming parentage orders or signing post-birth documents. At Expect Miracles Surrogacy, we make sure attorneys are prepared in advance so there are no delays or surprises. This ensures intended parents can take custody confidently and the surrogate has no lingering responsibilities.

What do birth photographers document in surrogacy?

Birth photographers capture the emotions and milestones of delivery day — from labor to the first moments intended parents meet their baby. At Expect Miracles Surrogacy, we connect families with photographers experienced in surrogacy births, ensuring they understand the unique dynamics of capturing both surrogate and intended parents’ experiences respectfully.

How do intended parents take custody of the baby at birth?

At Expect Miracles Surrogacy, we coordinate with the hospital so intended parents have a room prepared to bond with their baby immediately. Legal parentage orders are confirmed, and custody transitions smoothly at delivery. Our team supports surrogates as they recover while celebrating the intended parents’ first moments with their child.

What happens if the surrogate has a C-section?

If a surrogate requires a C-section, she receives full medical support from her OB and hospital team. At Expect Miracles Surrogacy, we ensure recovery needs are prioritized, while still making space for intended parents to meet their baby right away. We also check in closely after surgery to support healing, both physical and emotional.

Who manages hospital discharge in surrogacy cases?

Hospital discharge involves paperwork for both the surrogate and intended parents. At Expect Miracles Surrogacy, we work with hospital staff and social workers to ensure everything is handled efficiently. The surrogate is discharged to recover at home, and the intended parents leave with their baby — a moment we make sure is filled with joy and not stress.

Stage 5 — Post-Birth Support

How does Expect Miracles Surrogacy support surrogates after delivery?

At Expect Miracles Surrogacy, our relationship with you doesn’t end at birth. We check in regularly during your recovery, connect you with mental health and medical resources, and make sure all reimbursements are finalized quickly. Surrogates also have the chance to stay part of our community through mentorship, storytelling, and reunion events. We believe in honoring your gift long after delivery — because once you’re part of EMS, you’re always part of our family.

What postpartum care do surrogates receive?

At Expect Miracles Surrogacy, postpartum care is a priority. Surrogates receive full medical follow-up with their OB, and our team checks in frequently to ensure recovery is smooth. We also provide emotional support and connect surrogates with counselors if needed. Your health and healing are just as important as the pregnancy itself.

Do surrogates meet with mental health professionals after delivery?

Yes. At Expect Miracles Surrogacy, we encourage all surrogates to meet with a licensed mental health professional after delivery. These sessions offer a safe space to process emotions, whether you feel joy, sadness, or both. Our goal is to normalize support so every surrogate knows she is cared for beyond the birth.

What role do lactation consultants play for surrogates?

Some surrogates choose to pump breast milk for the baby, while others simply need help with comfort and recovery. At Expect Miracles Surrogacy, we provide access to lactation consultants who guide surrogates through whichever choice they make. This ensures both physical comfort and clarity around feeding decisions.

Can surrogates pump breast milk for the baby?

Yes, many surrogates choose to pump breast milk for the baby after delivery. At Expect Miracles Surrogacy, we help coordinate agreements with intended parents, arrange shipping if needed, and provide lactation support. We respect each surrogate’s decision and ensure it is honored with practical help.

Who checks in with intended parents after delivery?

At Expect Miracles Surrogacy, our case managers continue to check in with intended parents after birth. We want to ensure they feel supported as they adjust to new parenthood and navigate any legal or logistical follow-ups. Surrogacy is about relationships, and we stay connected to both sides of the journey.

What financial reimbursements are finalized after birth?

At Expect Miracles Surrogacy, all final reimbursements — for expenses, travel, and compensation — are completed promptly after delivery. Our escrow partners ensure payments are secure, documented, and released without delay. This allows surrogates to close their journey without financial stress.

Do surrogates stay in touch with their intended parents?

Every relationship is unique. At Expect Miracles Surrogacy, many surrogates and intended parents stay in touch through photos, updates, and even in-person visits. We celebrate these ongoing connections, while also respecting surrogates who prefer to step back after the journey. Our belief is that each family defines their relationship in the way that feels right for them.

What long-term health monitoring do surrogates get?

Surrogates continue to see their OB or primary care provider for long-term health monitoring after delivery. At Expect Miracles Surrogacy, we check in for months after the birth to make sure surrogates are recovering physically and emotionally. We also connect them with resources if any late health issues arise.

What happens if intended parents or surrogates want another journey?

At Expect Miracles Surrogacy, many families return for a second journey — and many surrogates choose to help again. We guide returning surrogates through updated medical and psychological screenings, and we help intended parents plan for the next steps. Our goal is to make a second journey just as meaningful, safe, and well-supported as the first.

Still Have Questions?

Our coordinators are happy to answer any questions — completely free, no obligation.