How is pregnancy different as a surrogate?

Physically similar, emotionally unique. Physical aspects same as your pregnancies, more frequent medical monitoring in first trimester. Emotional aspects include carrying for another family, joy of helping create families, strong support from agency. Legal protections through comprehensive agreements, financial security with all expenses covered.

Overview

This guide answers “How is pregnancy different as a surrogate?” from a surrogate perspective and outlines what typically happens, what can vary, and what to confirm with your clinic and agency.

Medical considerations

Medical protocols are managed by the fertility clinic and vary based on the treatment plan. Screening, medication timing, monitoring, and transfer protocols are individualized.

Always follow clinic instructions and ask questions early—especially about timelines, side effects, and what to do if something changes.

Typical workflow (high level)

1. Confirm eligibility: requirements, records, and a quick pre-screen.
2. Screening: medical records review, background checks, and psychological screening.
3. Matching: profile review, introduction, and alignment on expectations.
4. Legal: agreements are reviewed and signed before medical steps proceed.
5. Medical cycle + transfer: the clinic manages timing, medications, and monitoring.
6. Pregnancy + delivery: ongoing care coordination through birth and postpartum wrap-up.

What can vary (and why)

• Clinic schedules and medical protocols (individualized to the situation).
• State and international legal requirements (especially for parentage workflows).
• Matching preferences and availability (fit matters).
• Insurance and financial structure (coverage details can change).
• Logistics like travel, time zones, and appointment availability.

Questions to ask (so you don’t get surprised later)

• What are the next 2–3 steps in my specific situation?
• What documents or records should I prepare before we start?
• Which decisions should I make now vs later?
• Which clinic will manage medications, monitoring, and transfer planning?
• What medical screening steps are required before proceeding?
• What should I do if I have a medical history question or new symptom?
• What support is available during pregnancy (coordination, counseling, emergency support)?
• What expenses are covered and how do reimbursements work?

Next steps

• Surrogacy requirements
• Apply as a surrogate
• Surrogacy process
• Contact our care team

Important note

This page is educational information only and is not medical, legal, or tax advice. Always confirm specifics with qualified professionals and your care team.

See the sources section below for reference links when available.