Gestational surrogacy

Gestational surrogacy is used when a patient cannot safely carry a pregnancy — because of uterine factors (absent uterus, prior hysterectomy, uterine scarring), medical conditions that make pregnancy dangerous, recurrent unexplained pregnancy loss, or because you are a same-sex male couple or single father building a family.

Traditional surrogacy — inseminating a woman who has contracted to carry the intended father's child, using her own eggs — is not performed at our clinic. We provide gestational surrogacy, in which a gestational carrier carries an embryo created from the intended parents' own or donor gametes.

Yes. New York's Child-Parent Security Act legalized compensated gestational surrogacy in February 2021 and created a clear legal path for intended parents to be recognized as the child's parents from birth. Prior to that, compensated surrogacy contracts were unenforceable in New York and intended parents typically worked with carriers in other states.

We work with established agencies and can make introductions. Timelines and costs vary widely, and our staff will help you navigate the process.

Carriers undergo a full medical evaluation including a saline sonogram or hysteroscopy of the uterus, infectious disease testing, review of prior pregnancy history, and psychological evaluation. Carriers must have had at least one uncomplicated pregnancy of their own, be within a healthy weight range, and generally be under 40.

Gestational surrogacy is the most expensive path to parenthood because it includes several distinct pieces: carrier compensation, agency fees, legal contracts, health insurance for the carrier, the medical IVF cycle, and delivery costs. Our financial coordinator can walk you through the medical portion in detail; your agency and attorney handle the carrier and legal portions. We offer a free consultation for new patients — call 212-685-2229.

Timelines vary considerably. From initial consultation to a live birth is often around twelve months. Matching can move quickly — sometimes within a few weeks — but it depends on your criteria and on agency availability, and both the timeline and the cost vary widely. Our staff will help you navigate the process.

The intended mother, egg donor, or embryo bank provides the eggs; the intended father or sperm donor provides the sperm; embryos are created through IVF and either transferred fresh (with a synchronized carrier cycle) or frozen and transferred later. PGT is common in surrogacy cycles because both intended parents and carrier want the highest probability that a transferred embryo will result in a healthy pregnancy.

Yes — this is one of the most common paths for two-dad families. Typical arrangements combine an egg donor with a gestational carrier. Both partners can choose to fertilize eggs, resulting in embryos with each partner's genetics; families make personal decisions about which embryo to transfer first.

We manage the medical cycle through embryo transfer and the early pregnancy monitoring — typically through week eight or nine — then transfer prenatal care to the carrier's obstetrician. We stay in touch with the intended parents throughout and coordinate with the OB team as needed.