Surrogacy in Depth: Ethics, Testimonials and the Future
Future trends
Surrogacy is evolving at the pace of biotechnology and international law. The following trends are redefining the landscape:
Blockchain contracts: they offer traceability and legal certainty. Some countries are beginning to recognize electronic notarial contracts with advanced digital signatures.
Matching with artificial intelligence: algorithms are used to match parents and expectant parents based on affinity of values, life habits, contact goals, etc.
Legal harmonization in the EU: the European Commission's draft directive foresees that all Member States will recognize the filiation of children born by surrogacy in another EU country by 2028.
Cryptographic insurance: pilot projects for surrogacy health insurance based on smart contracts and automatic payments if certain medical conditions are met are appearing.
Gestation "all online": signatures, consultations and immigration procedures can now be done remotely. In-person attendance is limited to the ovarian puncture and collection of the baby.
The future points to greater accessibility, traceability and guarantees for all those involved.
Frequently asked questions (FAQ)
How much does a complete surrogacy cost?
Between 65,000 and 80,000 USD in Georgia, Albania or Ukraine. Up to 200,000 USD in the USA with full insurance.
Can I access as a single or LGBT couple?
Yes in the USA, Canada, Mexico, Armenia and Albania. Not in Ukraine or Georgia.
How long does the process take?
Between 15 and 18 months from signature to return home with the baby. Due to the shortage of surrogate mothers, because of the war conflict between Russia and Ukraine (countries where more than 90% of the surrogate mothers who participated in surrogacy processes came from before the war), the processes can be extended in time, even beyond 24 months. In the case of Greece, as there is a previous trial, they can be prolonged up to 36 months.
What happens if the surrogate regrets?
In regulated programs, the contract and the court order protect the filiation. The surrogate mother cannot claim the baby.
How do I register the baby in Spain?
Since 2025: by full adoption or proof of genetic link (filiation).
What happens if twins are born?
The contract must provide for additional compensation for the pregnant woman and extended neonatal coverage.
Conclusion
Surrogacy is not an "easy path", but it can be a clear, safe and respectful path if three pillars are met:
Accurate legal advice in advance, to avoid delays, rejections of filiation or conflicts of jurisdiction.
A robust health guarantee, with accredited clinics, complete follow-ups and adequate medical insurance.
Comprehensive emotional support for the parents, the pregnant woman and, later on, for the child born by this method.
With the support of professionals like Gestlife, it is possible to travel this journey with transparency, information and humanity.
✅ Next steps:
📥 Download the free guide with country and budget comparisons at Gestlife Surrogacy.
📅 Schedule your free video call with a legal and medical advisor at Gestlife Surrogacy USA.
Administrative procedures country by country
Each country with surrogacy programs has different requirements and times to legalize the baby's filiation. Documentation must be prepared in advance and follow local, national and international regulations.
Gestlife provides pre-approved templates, sworn translations, assistance before local notaries and face-to-face accompaniment at embassies or consular registries.
Partnerships and resources
Verified information and emotional support are as essential as contracts. These organizations and platforms offer support, training and resources:
SEEDS (Surrogacy Ethical Education for Donors and Surrogates): promotes good practices and ethical training.
Surrogacy Parents Association www.padresporgestacion.org) audits surrogacy agencies and ranks them.
Men Having Babies: financial grants, legal guides and forums for LGBT+ parents.
Red Latinoamericana de Reproducción Asistida (REDLARA): directory of accredited clinics and updated statistics.
European Society for Human Reproduction (ESHRE): clinical standards and studies on surrogacy.
Podcast "Más allá del vientre" (Beyond the womb): monthly interviews with parents, surrogates and professionals.
Gestlife Community: private forums, face-to-face meetings and groups by country of destination.
Children's stories to narrate the origin: recommended by psychologists to start the conversation with the child from the age of 3 (available in Gestlife).
Legislative chronology 1990-2025
A temporal overview helps to understand how surrogacy has been consolidated as a legal option:
1990 - Australia regulates altruistic surrogacy (for residents only).
1994 - United Kingdom passes the Human Fertilisation and Embryology Act.
2002 - India creates the first surrogacy "hotel clinic", unleashing surrogacy tourism.
2008 - Ukraine allows commercial surrogacy for foreign married couples.
2011 - Israel opens surrogacy to local gay couples.
2015 - India bans surrogacy for non-residents after ethical scandals.
2018 - Portugal legalizes altruistic surrogacy with strict conditions.
2021 - Canada tightens accounting requirements for surrogacy reimbursements.
2025 - Spain strengthens ban with penalties for brokering and requires adoption.
Key case law
These rulings have marked milestones in the regulation and recognition of surrogacy:
Baby M (USA, 1988).
First media case: traditional gestational carrier challenges contract. The court recognizes legal maternity by genetic link, but declares the paid contract null and void.
Johnson v. Calvert (USA, 1993)
California court recognizes that parental intent trumps genetics or gestation. The principle of "intended mother" is established.
Menesson v. France (ECtHR, 2014).
The European Court of Human Rights forces France to recognize parentage of children born by surrogacy in the U.S. The best interests of the child prevail over national law.
STS 496/2025 (Spain)
The Supreme Court rejects the automatic registration of a child born by surrogacy, even with a foreign judgment. Judicial adoption is required in all cases.
These decisions illustrate the tension between national law and international human rights.
Myths and realities
"The child may suffer social stigmatization."
❌ Inaccurate.
Eurobarometer surveys (2022) show that 72 % of the European population accepts surrogacy as a legitimate way to form a family. The key is to narrate its origin with normality from childhood.
"The gestational surrogates do it just for money."
❌ Generalization.
Many profiles coincide: women with children, economic stability and altruistic motivation. A significant percentage repeats the experience with pride. The economic component is only one of several.
"It's not natural to turn to another woman."
❌ Emotional argument.
Medicine has broken down barriers in many fields: transplants, assisted fertilization, neuroprosthetics. Surrogacy, well regulated, is an extension of this medical-humanistic advance.
FAQ'S
What happens if there is a spontaneous multiple pregnancy (twins/triplets)?
The contract should provide for additional compensation to the surrogate, increased medical coverage and duplicate logistical expenses.
Can I use donated eggs and sperm (double donation)?
Yes in countries such as Georgia and Greece. Not allowed in Ukraine. Canada allows it only under medical justification and without anonymity.
What happens if the baby is born with a disability?
The intended parents are legally responsible from the beginning. The intended mother cannot be forced to assume any obligation for the newborn.
What if I divorce during the process?
The contract and the court judgment determine the legal filiation. Some countries allow ceding paternity to only one parent if the other formally renounces.
Final conclusion
Surrogacy is not a transaction, but an act of human collaboration and technical planning. Science, law, ethics and affection come together. Each story is unique, but they all share the desire to create life in conditions of mutual respect.
With expert advice, your project can be safe, legal and profoundly humane.