📅 Published: April 6, 2026 | Editorial update: September 7, 2026 | ⏱ 10 minutes to read | 🏷 Country comparison

Georgia Surrogacy: Eligibility, Costs and Cross-Border Documents

Article 143 of Georgia’s Health Care Law provides rules for a specified medical circumstance and parentage. Order No. 598 concerns a man and a woman with at least one year of marriage or continuous actual cohabitation; cohabitation evidence must be reviewed by the notary. Foreign families also need separate medical, registration, parentage and travel-document checks.

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Editorial update: 7 September 2026. These are quotation and document-preparation questions; authorities, clinicians and independent counsel determine case requirements.

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1. Current legal basis and limits

Article 143 of the Law of Georgia on Health Care

The text states that, where a woman does not have a uterus, an embryo created with the couple's or donor gametes may be transferred to another woman, and the couple's written consent is mandatory. Whether a patient's facts meet the current medical and procedural requirements should be confirmed in writing by the Georgian clinic and local counsel.

If a child is born and the statutory conditions and registration documents are met, the couple is deemed the parents under Georgian law; the donor or gestational carrier has no right to be recognised as a parent. This is not unconditional automatic registration and does not itself resolve recognition of parentage, citizenship, passports or travel documents in the intended parents' home country.

Article 143 does not expressly establish a separate category of “commercial surrogacy.” Fees, compensation and contract terms require item-by-item review under current Georgian law and the facts of the case.

2. Couple eligibility and the pending 2023 bill

Order No. 598 amended the birth-registration rules so that the agreement party is a woman-man couple. They may have been married for at least one year or may document at least one year of actual cohabitation. A claim that Georgia is available only to married couples is therefore inaccurate.

Intended-parent situationCurrent readingWhat must be confirmed before payment or transfer
Woman-man couple married for at least one yearCan meet the relationship-form requirementArticle 143 medical condition, notarised agreement, medical records and birth-registration documents
Woman-man couple with at least one year of actual cohabitationCan use documentary evidence of the relationshipWhether the registration authority accepts the evidence, plus all medical and agreement documents
Single person or same-sex coupleDoes not fit the woman-man agreement-party structure in Order No. 598Do not pay based on an agency's oral assurance; obtain independent advice on other lawful pathways
Foreign woman-man coupleThe enacted texts reviewed for this guide do not state a nationality barWritten pre-clearance from local counsel, the clinic and the birth-registration authority is essential
Recheck legislative developments: the parliamentary record documents a June 2026 request to extend deliberation and the initiation of that procedure. That historical record alone does not establish the full legislative position in September 2026. Do not treat the 2023 draft as enacted law; obtain current written advice before payment.

3. Four written checks for foreign and cross-border families

  1. Georgian counsel:Confirm relationship eligibility, medical conditions, agreement enforceability, payments and change-in-law clauses in writing.
  2. Clinic:Confirm the medical indication, treatment parties, gamete source, laboratory services and delivery of complete medical records.
  3. Birth-registration authority:Before transfer, check the notarised agreement, marriage or cohabitation evidence, medical documents and parent-registration conditions.
  4. Home-country advice:Separately confirm recognition of parentage, citizenship, DNA requirements, passports or travel documents and entry arrangements.

Cross-border parentage and documents depend on more than one legal system and on actual administrative review. An agency's oral statement that registration or return is “guaranteed” is not a substitute for written advice from the relevant authorities and independent counsel.

4. Cost checklist: complete it with your written quotation

Ask the provider to include these answers in one quotation appendix. Unpriced items must be marked excluded or pending confirmation, not counted as zero. Additional testing such as PGT-A should be listed only as applicable to the individual clinical decision.

ItemQuestions the quotation must answer
Medical care and embryosExisting embryos or a new retrieval? How many medication courses, cultures, transfers and years of storage are included? How is testing priced if selected?
Pregnancy and deliveryWhat care, hospital costs and legally reviewed compensation are included? Who pays for complications, prematurity or neonatal intensive care?
Legal work and documentsWhich lawyers, notarial work, translations and registrations are included? Are destination parentage, citizenship and travel documents separate?
Insurance and travelAre exclusions, deductibles, extended accommodation, rebooking and interpretation itemised?
Payment and exitIdentify the payee, amount and verifiable deliverable for each payment. What happens after cancellation, no embryos, failed transfer or policy change?

5. Medical process and the limits of PGT-A

  1. Medical and relationship pre-check:Confirm the Article 143 medical circumstance and the marriage or cohabitation evidence.
  2. Cross-border legal pre-check:Before payment, assess parentage, citizenship and documents in Georgia and the home country.
  3. Pre-transfer documents:Complete the notarised agreement, medical evidence and identity documents required for registration, and retain written confirmations.
  4. Individualised IVF plan:Base treatment on age, ovarian reserve, embryo numbers, medical history and laboratory conditions.
  5. Transfer and pregnancy care:Track transfer, pregnancy and delivery through clinic records; a positive pregnancy test is not a live birth.
  6. Birth registration and cross-border documents:Proceed only after Georgian registration conditions are met. Timing depends on the case, authorities and home-country requirements.
PGT-A is not a routine requirement for every family. The ASRM 2024 committee opinion states that its value as a universal screening test has not been demonstrated. Discuss it case by case using age, embryo numbers, prior history and laboratory conditions. A result reflects chromosome copy number in sampled cells; it is not a “normal embryo” or live-birth guarantee.

6. Official sources and update status

Georgian consolidated law (publication 64); English translation is auxiliary

7. Conclusion: obtain written feasibility findings before proceeding

Georgia has an enacted statutory framework, but eligibility, medical indications, the agreement, payments, birth registration and home-country documents must be assessed separately. The safest decision gate is consistent written confirmation from Georgian counsel, the clinic, the birth-registration authority and a qualified home-country adviser before any substantial payment or embryo transfer.

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