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Top 5 Questions Intended Parents Ask About U.S. Surrogacy — Answered.

  • Writer: ACRC Global
    ACRC Global
  • Jun 19
  • 3 min read

Updated: Jun 20






Navigating Surrogacy: Top Questions Intended Parents Have About the Journey in the U.S.
Navigating Surrogacy: Top Questions Intended Parents Have About the Journey in the U.S.

Surrogacy in the United States is one of the safest and most legally protected ways to build a family — but if you’re just starting your research, it’s natural to feel overwhelmed. At ACRC Surrogacy, we hear many of the same important surrogacy

questions from intended parents (IPs) around the world. In this blog, we’re answering the top five with clarity and care.


1. 🕒 How long does the surrogacy process take from start to finish?


The typical U.S. surrogacy journey takes about 15 to 20 months. Here’s a general breakdown:

  •  Matching process (1–4 months): This includes your initial consultation, joining the surrogacy program, being matched with a surrogate based on your preferences and legal factors, completing paperwork, and escrow funding.

  •  Screening process (1–2 months): Timing depends on the IVF clinic. The surrogate undergoes initial medical reviews and basic clearance.

  •  Legal contract phase (1–2 months): Independent legal teams draft and negotiate the agreement between you and your surrogate.

  •  Embryo transfer and graduation (around 2 months): This includes preparation for the IVF cycle, the embryo transfer, confirmation of heartbeat, monitoring, and graduation from the fertility clinic at around the 10th week of pregnancy.

  •  Pregnancy and delivery (9 months): Once confirmed, the pregnancy continues under regular OB care until delivery.

At ACRC, we manage every stage proactively to keep your journey as smooth and efficient as possible.


2. 💰 What’s the cost of U.S. surrogacy and what does it include?


The total cost of surrogacy in the U.S. ranges on average from $150,000 to $200,000. The most significant factor is the surrogate’s base compensation, which varies depending on her location and past experience.

Your total budget generally includes:

  •  Professional costs (agency coordination, legal, case management)

  •  Surrogate compensation and benefits

  •  Insurance and co-insurance costs

  •  Legal fees for establishing parental rights

ACRC provides transparent breakdowns of all costs and works with you to plan through escrow protections and flexible service tiers.


3. 🧪 How are surrogates screened and selected at ACRC?


At ACRC, our surrogate intake process follows — and often exceeds — the standards recommended by the American Society for Reproductive Medicine (ASRM).

Here’s how we evaluate our surrogate candidates:

  •  In-depth interviews by our surrogacy coordinators

  •  Background checks on the surrogate and any live-in adult household members

  •  Home environment assessments

  •  Review of medical history, including prior prenatal and delivery records, and IVF records if applicable

  •  OB clearance from a licensed obstetrician

  •  Basic medical labs, including STD screening, before the match is finalized

Once the surrogate is matched, she undergoes:

  •  Comprehensive medical screening at the intended parents’ chosen IVF clinic

  •  Independent psychological evaluation by a licensed mental health professional

This multi-layered approach ensures that all surrogate candidates are physically, emotionally, and socially well-qualified for the journey ahead.


4. 📝Will I be the legal parent of the baby?


Surrogacy laws in the U.S. vary by state, and these differences affect how parental rights are established.

At ACRC, we ensure you are matched with a surrogate who resides in a state whose laws align with:

  •  Your marital status

  •  Your genetic relationship to the child

There are two common legal paths to establish parenthood:

  •  Pre-Birth Order (PBO): A court order issued before delivery that names the intended parents as the legal parents on the baby’s birth certificate.

  •  Post-Birth Order: A court proceeding after the baby is born that replaces the surrogate’s name with the intended parents’ names.

In both cases, the surrogate’s name is removed, and only the intended parents are listed on the final birth certificate. Our legal partners handle all necessary filings to ensure your parentage is fully secured.


5. 🌍 Can international intended parents pursue U.S. surrogacy?


Yes — and many do. ACRC Surrogacy proudly serves intended parents from Japan, Korea, Singapore, and other countries seeking U.S.-based surrogacy for its strong legal protections and medical standards.

We offer:

  •  Multilingual support

  •  Document translation

  •  Travel coordination

  •  Concierge-level services to help with accommodations, delivery logistics, and communication with your surrogate and clinic

Whether you’re thousands of miles away or already planning your visit to the U.S., we’re here to support every step of your journey.

💬 Final Thoughts on U.S. Surrogacy Questions

Every surrogacy journey is unique — but you’re not alone. Whether you’re just beginning or ready to start the process, ACRC Surrogacy is here to guide you with honesty, structure, and care.


📩 Contact us today for a free consultation. Your dream of parenthood starts here.

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