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UK Surrogacy Demand Continues to Rise: What Intended Parents Can Learn from the Closure of Britain's First Surrogacy Agency


Nearly four decades after helping launch modern surrogacy in the United Kingdom, Kim Cotton—the UK's first surrogate and founder of Childlessness Overcome Through Surrogacy (COTS)—has announced she is closing the agency after years of increasing demand and a severe shortage of available surrogates.

For many intended parents, the news reflects a challenge that has been growing for years: finding a qualified surrogate has become increasingly difficult in the UK, while outdated legislation continues to create uncertainty for families.

At ACRC Surrogacy, we understand how overwhelming this process can feel. Whether you're exploring surrogacy in the United States or considering international family-building options, having an experienced team by your side can make a significant difference.

Schedule a free confidential consultation:


Kim Cotton: ‘I get phone calls every day from couples, often in tears. The desperation is just heartbreaking. It’s terrible.’ Photograph: Anna Gordon/The Guardian
Kim Cotton: ‘I get phone calls every day from couples, often in tears. The desperation is just heartbreaking. It’s terrible.’ Photograph: Anna Gordon/The Guardian

Why Is Britain's First Surrogacy Agency Closing?

According to interviews published by The Guardian, Kim Cotton says the decision was driven primarily by an unprecedented imbalance between intended parents seeking surrogacy and the number of available surrogates.

She describes receiving daily phone calls from hopeful parents who have often spent years trying to build their families.

Demand has continued to increase due to several factors, including:

  • More people experiencing infertility

  • Greater awareness and acceptance of surrogacy

  • Increased access for LGBTQ+ families

  • More cancer survivors preserving their family-building options

  • Delayed parenthood leading to higher fertility challenges

Unfortunately, the number of women choosing to become surrogates has not kept pace with demand.

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Kim Cotton, with the twins she carried. Photograph: PA Images/Alamy
Kim Cotton, with the twins she carried. Photograph: PA Images/Alamy

Long Waiting Lists Continue Across the UK

Today, approximately 400 babies are born through surrogacy each year for UK intended parents, a significant increase from previous decades.

However, because there are not enough domestic surrogates available, many UK agencies now have waiting lists that can stretch for years.

As a result, increasing numbers of British intended parents are exploring international surrogacy programs where they may have access to:

  • Shorter matching timelines

  • Established legal pathways

  • Experienced fertility clinics

  • Dedicated case management

  • Comprehensive medical coordination

Every family's circumstances are different, making it important to understand the legal and medical considerations before choosing a destination.


The Challenge of Outdated UK Surrogacy Laws

One of the biggest concerns highlighted in the article is that many aspects of UK surrogacy legislation remain largely unchanged since 1985.

Current UK law generally requires intended parents to apply for a Parental Order after birth before they become the child's legal parents under UK law.

Legal experts and advocacy groups have proposed reforms that would modernize the process, including:

  • Earlier recognition of intended parentage in eligible cases

  • Greater legal clarity

  • A national surrogacy register

  • Updated guidance on surrogate expenses

  • Better protection for everyone involved

Although the Law Commission proposed recommendations in 2023, comprehensive legislative reform has not yet been implemented.


Why More Intended Parents Are Considering International Surrogacy


As domestic wait times increase, more intended parents are looking beyond their own countries for family-building options.

International surrogacy can provide access to experienced fertility specialists, established medical networks, and dedicated coordination teams. However, it also requires careful planning around legal requirements, immigration, citizenship, and documentation.

Choosing an experienced agency with strong professional partnerships can help families navigate these complexities more confidently.


What Intended Parents Should Look for in a Surrogacy Agency


Regardless of where you pursue surrogacy, several factors deserve careful consideration:

Experience

Look for an agency with a long history of supporting intended parents through successful surrogacy journeys.

Medical Coordination

Strong partnerships with leading fertility clinics and maternal healthcare providers help ensure continuity of care throughout pregnancy.

Legal Guidance

International surrogacy often involves multiple legal systems. Working with experienced legal professionals is essential for protecting everyone involved.

Communication

Transparent communication and regular pregnancy updates can provide reassurance, particularly for international intended parents following their pregnancy from abroad.

Ethical Standards

Responsible agencies prioritize informed consent, comprehensive screening, surrogate wellbeing, and compliance with applicable laws and regulations.


How ACRC Surrogacy Supports Families Around the World

At ACRC Surrogacy, we understand that choosing surrogacy is one of the most important decisions a family will make.

For more than 10 years, our team has helped intended parents from around the world navigate every stage of the family-building journey with personalized support and experienced case management.

Our services include:

  • Comprehensive surrogacy coordination

  • Matching with carefully screened U.S. surrogates

  • Fertility clinic coordination

  • Legal and documentation guidance

  • Pregnancy case management

  • Multilingual support for international families

  • Ongoing communication from consultation through delivery

Every family's path is unique, and our goal is to provide clear guidance, compassionate support, and trusted coordination throughout the journey.


Frequently Asked Questions About UK Surrogacy

Why are UK surrogacy waiting lists so long?

Demand for surrogacy has grown significantly while the number of available surrogates has remained limited, leading to extended waiting periods with many agencies.

Can UK intended parents pursue surrogacy abroad?

Yes. Many UK intended parents choose international surrogacy programs, but they should seek legal advice regarding parentage, citizenship, travel documents, and returning home with their child.

What should I consider before choosing an international surrogacy program?

Families should evaluate medical expertise, legal guidance, agency experience, ethical practices, transparency, communication, and post-birth support before making a decision.

Begin Your Family-Building Journey with Confidence

The closure of Britain's first surrogacy agency highlights an important reality: demand for surrogacy continues to grow, and intended parents benefit from planning early and working with experienced professionals.

If you're exploring surrogacy and would like to better understand your options, the ACRC team is here to help.

Book your free confidential consultation today:


Learn more


Sources: The Guardian – "It's overwhelming": woman who was UK's first surrogate closes agency as demand soars

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