Working with a Gestational Carrier: Surrogacy Trends

Posted on: August 04th 2014


The number of same-sex couples using a gestational carrier has tripled in recent years.

Using a gestational carrier – a surrogate – is becoming more and more common place in the United States. In recent years Jimmy Falon, Elton John and Sarah Jessica Parker have all gone public with their use of surrogates to have children.

Changing Faces

The most well-known type of couple to use surrogacy has long been the couple who is experiencing infertility or other issues that interfere with a healthy pregnancy. A wide variety of medical issues can make it difficult for women to conceive or carry a child, or to do so safely.

Among the most common causes of infertility are endometriosis, anovulation, blocked tubes, polycystic ovaries, damaged eggs and hormonal issues. Rh factor, chronic conditions or genetic factors can sometimes interfere with a healthy outcome as well. Increasingly, women of advanced age are also using surrogates, to ensure safer pregnancies and outcomes.

But the faces of surrogacy are changing in other ways as well. Today, gay couples throughout the country are using surrogates at dramatically increasing rates. And same-sex and infertile couples from abroad are flocking to the United States to make their dreams of becoming parents come true.


The United States has become the go-to country for finding a gestational carrier.

A Global Dream

In recent decades the dream of becoming parents has sent Americans overseas to adopt babies from China, Russia, Guatemala, African and other countries. Now, foreigners are heading to the U.S. to find surrogates.

This is because there are only a few countries in which it’s legal to use a gestational carrier. The United States has the most open, accessible and legally secure surrogacy options. For those who can afford the best and who want to minimize the risks, the U.S. is first choice for pursuing parenthood through surrogacy.

Aspiring parents from states and countries where the practice is not yet legal follow their dreams to the progressive states that have come to understand the value of surrogacy.

The Process

In gestational surrogacy, either the intended mother or a donor provides the egg, which is usually fertilized by the sperm of the intended father. If the intended father has fertility issues, a sperm donor can be used as well. The resulting embryo is then implanted in the surrogate, who carries and delivers the baby.

Agencies and law firms work together to identify good matches between surrogate and intended parents. They work through all the details, from health care to payments, to all the legal what-ifs. They counsel clients on the laws and procedures they will face during their journey, based on the state or country of the surrogate and intended parents alike.

At Family Formation, we have built hundreds of families through surrogacy, and our team includes an experienced surrogate mother. We get it, and we’re here to help. Contact us today to learn more.