📅 April 18, 2026 | ⏱ 16 minutes to read | 🏷 Cost analysis

Full breakdown of surrogacy costs in the United States: IVF, sperm and egg donation, and legal documents broken down item by item (2026)

summary:American surrogacy is currently the most legally protected surrogacy path in the world, but it is also the most expensive option. This article is based on public data from the American Society for Assisted Reproduction (ASRM), the American Surrogacy Industry Association (SAAME) and a number of well-known American reproductive agencies. It breaks down every cost module from IVF, egg donation, sperm donation, to surrogate mother remuneration, legal contracts, and agency service fees. It also attaches complete process nodes and payment timelines to help you have a clear idea during the evaluation stage.

Contents of this article

Overview of total surrogacy costs in the United States
IVF test tube baby full process cost
Sperm donation fee (if necessary)
Egg donation cost (if necessary)
Surrogate mother related costs
Legal contract and document fees
Institutional Services and Administration Fees
Other necessary expenses
Total cost summary and scenario comparison
Complete process nodes and payment timeline
United States vs. Other Countries: Costs and Coverage Comparison

1. Overview of the total cost of surrogacy in the United States

RMB 1 million – 2 million

(Corresponding to US$140,000 – $280,000, the exchange rate is estimated based on 1 US dollar ≈ 7.2 RMB)

This is a fairly wide range because the cost of surrogacy in the United States is highly individualized and is affected by the following core factors:

Do you need egg or sperm donation?——Donating eggs will increase by approximately $25,000–$55,000 (approximately 180,000–400,000 RMB)
The state where the surrogate mother is located and the remuneration level——Surrogate mother compensation in popular states such as California and New York is significantly higher than that in other states
Number of IVF cycles——If the first transfer is unsuccessful, subsequent frozen embryo transfer cycles will incur additional costs.
Surrogate mother’s insurance status——Some surrogate mothers are covered by existing insurance, otherwise they need to purchase additional maternity insurance.
Institutional Service Level——The fees of surrogacy agencies of different sizes and backgrounds vary significantly.

Data source description:The cost range in this article refers to the official data of the American Society for Assisted Reproduction (ASRM), the Centers for Disease Control and Prevention (CDC) ART report, SART (Society for Assisted Reproductive Technology) annual statistics, and the public pricing information of multiple licensed surrogacy agencies in the United States (Creative Family Connections, Circle Surrogacy, Surrogate.com, etc.). All price ranges are industry reference ranges and are not fixed quotes from FS Global Ferticare. Actual costs vary depending on individual cases.

2. Cost of the whole process of IVF test tube baby

For surrogacy in the United States, IVF (in vitro fertilization) is usually completed in the client's location or the target country, or it can also be performed at a reproductive medicine center in the United States. Taking the top reproductive centers in the United States as a reference, the fee structure is as follows:

2.1 IVF basic ovulation promotion cycle

Expense items	illustrate	US dollar reference range	RMB reference range
Initial evaluation and examination	Including blood test, six hormones, ultrasound basic follicle assessment (AFC), etc.	$500 – $1,500	0.4 – 11,000 yuan
Ovulation induction drugs	FSH/LH injection drugs, the dosage varies significantly depending on individual circumstances	$3,000 – $6,000	2.2 – 43,000 yuan
Monitoring ultrasound and blood tests	Multiple follicle monitoring during ovulation induction	$1,000 – $2,500	0.7 – 18,000 yuan
Egg retrieval surgery (OPU)	Including anesthesia, operating room, and egg recovery operations	$3,000 – $6,000	2.2 – 43,000 yuan
ICSI single sperm injection fertilization	Improve fertilization rate, commonly used in surrogacy projects	$1,000 – $2,500	0.7 – 18,000 yuan
Blastocyst culture (to Day 5)	Culture to blastocyst stage to increase implantation success rate	$1,000 – $2,000	0.7 – 15,000 yuan
Embryo cryopreservation (first year)	Vitrification of excess healthy embryos	$500 – $1,500	0.4 – 11,000 yuan
IVF basic cycle subtotal (excluding PGT-A)		Approximately $10,000 – $22,000	About 72,000 – 158,000 yuan

2.2 PGT-A third-generation test tube embryo genetic screening

PGT-A (Preimplantation Aneuploidy Testing) is an important part of the surrogacy project. By screening the chromosome number of the embryos before transplantation, it eliminates aneuploidy embryos and significantly improves the success rate of transplantation. In surrogacy programs in the United States, PGT-A is standard for most agencies.

Expense items	illustrate	US dollar reference range	RMB reference range
PGT-A Biopsy Procedure	Extraembryonic cytotrophoblast biopsy procedure fee	$1,000 – $2,000	0.7 – 15,000 yuan
Genetic testing analysis	Laboratory NGS sequencing analysis cost per embryo	$300 – $600/piece	0.2 – 0.4 million yuan/piece
PGT-A reporting and genetic counseling	Interpretation of results and professional genetic counseling	$300 – $800	0.2 – 0.6 million yuan
PGT-A subtotal (taking 4–6 embryos as an example)		Approximately $3,000 – $6,000	About NT$22,000 – NT$43,000

2.3 Frozen embryo transfer cycle (FET)

If the first fresh embryo or frozen embryo transfer is unsuccessful, subsequent frozen embryo transfer cycles are required:

Expense items	US dollar reference range	RMB reference range
Endometrial preparation (hormone medication)	$500 – $2,000	0.4 – 15,000 yuan
FET transplant surgery	$3,000 – $5,000	2.2 – 36,000 yuan
Subtotal per FET cycle	Approximately $3,500 – $7,000	About NT$25,000 – NT$50,000

📊 SART data reference:According to the 2022 annual report of the Society for Assisted Reproductive Technology (SART), the clinical pregnancy rate of a single transfer of own eggs in women under 35 years old in the United States is about 47%–55%; after using PGT-A to screen normal embryos, the live birth rate of a single transfer can be increased to 55%–65%. Most surrogacy programs include coverage for multiple transplants until successful.

Data source: SART Annual Report 2022; ASRM Practice Guidelines 2023; CDC ART Fertility Clinic Success Rates Report 2022

3. Cost of sperm donation (if necessary)on demand options

If the client is a single woman, a same-sex female couple, or the man has serious sperm problems and needs to use donor sperm, the following costs will need to be included:

Expense items	illustrate	US dollar reference range	RMB reference range
Sperm bank consultation and screening fees	Sperm bank system access, donor information review	$0 – $500	0 – 0.4 million yuan
Donor semen purchase	Cost of each semen vial (vial), usually 2–4 need to be purchased	$700 – $1,500/piece	0.5 – 11,000 yuan/piece
Semen transportation and storage	Semen is transported to designated reproductive centers at low temperature	$200 – $600	0.1 – 0.4 million yuan
Donor genetic background testing (optional)	Expanded version of genetic carrier testing to eliminate the risk of recessive genetic diseases	$200 – $500	0.1 – 0.4 million yuan
Total sperm supply (taking 2-3 semen tubes as an example)		Approximately $1,500 – $5,000	About NT$11,000 – NT$36,000

Recommended sperm bank references:Well-known certified sperm banks in the United States include California Cryobank, Fairfax Cryobank, Seattle Sperm Bank, etc., all of which are FDA and AATB certified and provide complete genetic health screening and donor background information.

4. Egg donation costs (if necessary)on demand options

If the client's female ovarian reserve is insufficient, her egg quality has declined due to her advanced age, or she is a same-sex male partner/single male client, she needs to use egg donation for surrogacy. Donor eggs are the single largest increase in surrogacy costs in the United States.

4.1 Directed Donation

Known egg donors (such as relatives or friends) contacted by the client themselves usually cost less, mainly including medical examination and legal fees:

Expense items	US dollar reference range	RMB reference range
Egg donor medical screening	$1,500 – $3,000	1.1 – 22,000 yuan
Legal contract (egg donation agreement)	$1,500 – $3,000	1.1 – 22,000 yuan
Compensation for egg donor (if non-family member)	$5,000 – $10,000	3.6 – 72,000 yuan
Total number of known egg donors	Approximately $8,000 – $16,000	About NT$58,000 – NT$115,000

4.2 Anonymous Donor via Agency

Matching through the egg donor database of an egg donor agency or surrogacy agency is the more common way:

Expense items	illustrate	US dollar reference range	RMB reference range
Egg donor agency service fee	Egg donor recruitment, screening and matching services	$8,000 – $15,000	5.8 – 108,000 yuan
Egg Donor Remuneration (Basic)	The American ASRM guideline is usually $5,000–$10,000, and for high-demand egg donors it can reach $50,000+	$8,000 – $50,000+	5.8 – 360,000 yuan+
Egg donor medical screening	Psychological evaluation, genetic screening, gynecological examination, etc.	$2,000 – $4,000	1.4 – 29,000 yuan
Medical expenses for ovulation induction and egg retrieval for egg donors	Ovulation induction drugs, egg retrieval surgery, etc. for egg donors	$5,000 – $12,000	36,000 – 86,000 yuan
Egg donor accident insurance and disability insurance	Protect egg donors from risks during ovulation induction and egg retrieval	$500 – $1,500	0.4 – 11,000 yuan
Egg donation legal contract	Parental rights agreement between the client and the egg donor	$1,500 – $3,000	1.1 – 22,000 yuan
Total anonymous egg donation (regular egg donors)		Approximately $25,000 – $85,000	Approximately NT$180,000 – NT$610,000

⚠️ Note: Egg donor remuneration is stratified
There is a clear stratification of egg donor remuneration in the U.S. market. Early ASRM guidelines recommended compensation of no more than $10,000, but actual market prices have been significantly exceeded due to demand. Egg donors with high education, certain ethnic backgrounds, or egg donation records can be paid $30,000–$50,000 or more. When evaluating your budget, be sure to clarify with the agency the actual range of egg donor compensation.

Data source: ASRM 2023 Third-Party Reproduction Guidelines; FertilityIQ Egg Donor Cost Survey 2023

5. Surrogate mother-related expenses

Surrogate mother (Gestational Carrier/Surrogate) related expenses are the largest part of the cost of surrogacy in the United States, usually accounting for 40%–60% of the total cost. The following fee structure is based on the standard agreement templates of major surrogacy agencies in the United States:

5.1 Basic remuneration of surrogate mother

Surrogate mother type	Basic compensation range (USD)	Basic remuneration range (RMB)
First-time surrogate mother (First-time GC)	$45,000 – $65,000	32.4 – 468,000 yuan
Those with surrogacy experience (Experienced GC)	$55,000 – $80,000	396,000 – 576,000 yuan
High-cost states such as California and New York	$65,000 – $100,000+	46.8 – 720,000 yuan+

5.2 Additional fees for surrogate mother (standard terms of agreement)

Expense items	illustrate	US dollar reference range	RMB reference range
Pre-pregnancy medical screening	Includes blood testing, hysteroscopy, mental health assessment, drug screening, etc.	$2,000 – $5,000	1.4 – 36,000 yuan
Mock Transfer	Endometrial receptivity testing cycle before transplantation	$500 – $2,000	0.4 – 15,000 yuan
Monthly Allowance	Subsidy for daily expenses during pregnancy, approximately $200–$300 per month	$1,800 – $3,000 (full pregnancy period)	1.3 – 22,000 yuan
Medical expenses during pregnancy (out-of-pocket portion)	Expenses for prenatal check-ups, nutrition, and additional medical visits that exceed insurance reimbursement	$1,000 – $5,000	0.7 – 36,000 yuan
Delivery Bonus	Vaginal birth/Cesarean section bonus, usually vaginal birth is lower than caesarean section	$1,000 – $3,000	0.7 – 22,000 yuan
Multiples Bonus	If you are pregnant with twins or multiple fetuses	$5,000 – $10,000	3.6 – 72,000 yuan
Additional compensation for invasive procedures	Additional compensation if amniocentesis, cervical cerclage, etc. is required	$200 – $500/time	0.1 – 04,000 yuan/time
Surrogate mother’s lost work compensation	Lost work expenses required for egg retrieval, transplantation, prenatal check-ups, etc.	$1,500 – $4,000	1.1 – 29,000 yuan
Transportation and accommodation for surrogate mother	Prenatal check-up, medical treatment and other related transportation expenses	$1,000 – $3,000	0.7 – 22,000 yuan
postpartum care allowance	Extra allowance during postpartum recovery period	$500 – $2,000	0.4 – 15,000 yuan

5.3 Surrogate mother medical insurance

This is the most variable and most underestimated item of surrogacy costs in the United States:

insurance status	illustrate	Fee range (USD)	Cost range (RMB)
The surrogate mother already has compatible insurance	The policy explicitly does not exclude surrogate pregnancy, or a lawyer reviews and confirms that it is available	$0 – $3,000 (examination and attorney fees)	0 – 22,000 yuan
Need to purchase special maternity insurance for surrogacy	Medical insurance that specifically covers the entire surrogate pregnancy process	$15,000 – $35,000	10.8 – 252,000 yuan
Additional insurance for high-risk situations (if required)	Additional coverage for twins, elderly surrogate mothers, etc.	$5,000 – $15,000	3.6 – 108,000 yuan

⚠️ Insurance is the biggest uncertainty variable about surrogacy in the United States:Since the cost of childbirth in American hospitals is extremely high (normal hospitalization for a normal birth is about $10,000–$20,000, and cesarean section is about $20,000–$50,000), the insurance coverage of the surrogate mother directly determines the cost of this module. Some institutions will set insurance premiums into a separate "insurance reserve" account to ensure adequate coverage.

Summary of surrogate mother cost module (including basic remuneration + surcharge + insurance):

About $70,000 – $130,000 (approximately RMB 500,000 – 940,000)

6. Legal contract and document fees

The legal fees for surrogacy in the United States are one of its core protections. A complete legal document link ensures that the client’s parental rights are confirmed in the form of a court order before the child is born, without the need for any subsequent adoption procedures.

6.1 Legal contract stage

Legal Documents/Services	illustrate	US dollar reference range	RMB reference range
Client’s attorney fees for surrogacy agreement	Drafting and negotiating GCA (Gestational Carrier Agreement) on behalf of the client	$3,500 – $7,000	2.5 – 50,000 yuan
Independent legal representation fees for surrogate mothers	Surrogate mothers need to be represented by independent lawyers, and the fees are usually borne by the client.	$1,500 – $3,500	1.1 – 25,000 yuan
Egg donation legal contract (if donor eggs are used)	Parental rights transfer agreement between the client and the egg donor	$1,500 – $3,000	1.1 – 22,000 yuan
Legal contract for sperm donation (if donor sperm is used)	Sperm banks usually have standard contracts in place, with low additional costs	$0 – $1,000	0 – 07 thousand yuan

6.2 Pre-Birth Order

Most surrogacy-friendly states in the United States allow you to apply to the court for a "Pre-Birth Order (PBO)" before the child is born (usually 28-32 weeks of gestation), directly registering the client as the legal parent, and the surrogate mother will not appear on the birth certificate. This is the core legal protection for surrogacy in the United States.

legal process	illustrate	US dollar reference range	RMB reference range
Pre-Birth Order Application for Attorney Fees	Submit an application for confirmation of paternity to the court of the state of birth	$2,500 – $5,000	1.8 – 36,000 yuan
Court application fees and announcement fees	Administrative fees set by state courts	$500 – $1,500	0.4 – 11,000 yuan
Birth certificate application	After the child is born, the birth certificate of the entrusting party is directly issued to the parents according to the PBO.	$50 – $200	300 – 1,500 yuan
Consular authentication by the Chinese Embassy (if required)	After the birth certificate has been certified by the U.S. Secretary of State, apply to the Chinese Consulate in the United States for certification.	$200 – $500	0.1 – 0.4 million yuan
U.S. passport or travel document (child)	As a U.S. citizen, your child can directly apply for a U.S. passport	$165 – $200	1,200 – 1,500 yuan

U.S. legal advantages:The legal protection of surrogacy in states with legal surrogacy in the United States (such as California, Nevada, Washington State, Texas, etc.) is the most complete in the world. The Pre-Birth Order system ensures that the client is the legal parent when the child is born, without any risk of rights transition - this is the core advantage of surrogacy in the United States and one of the important reasons for its high cost.

General reference for legal fees: approximately $9,750 – $21,200 (approximately 70,000 – 153,000 yuan)

7. Surrogacy agency services and management fees

The service fee of American surrogacy agencies is the comprehensive cost of project management, surrogate mother matching, full coordination, and risk management:

Expense items	illustrate	US dollar reference range	RMB reference range
Basic service fees for surrogacy agencies	Surrogate mother recruitment/screening, matching, full coordination and support services	$25,000 – $45,000	18 – 324,000 yuan
Third-party escrow account (Escrow) management fee	Neutral third-party account management to ensure funds are released according to contract nodes	$750 – $2,000	0.5 – 15,000 yuan
Reproductive center coordination fee	Medical coordination management between institutions and reproductive centers	$1,000 – $3,000	0.7 – 22,000 yuan
Psychological consultation (client + surrogate mother)	ASRM requires both parties to complete a psychological evaluation	$500 – $2,000	0.4 – 15,000 yuan

Total agency service fee: approximately $27,250 – $52,000 (approximately 196,000 – 374,000 yuan)

8. Other necessary expenses

Expenditure items	illustrate	US dollar reference range	RMB reference range
The client’s air ticket to the United States	Usually you need to go to the United States 2-3 times (signing contract/IVF, before and after birth)	$3,000 – $8,000	2.2 – 58,000 yuan
Accommodation and living expenses in the United States	Each trip to the United States lasts approximately 2-4 weeks, including accommodation and meals	$3,000 – $8,000	2.2 – 58,000 yuan
Client’s US visa	B-1/B-2 tourist business visa, including visa fee and material preparation	$160 – $500	0.1 – 0.4 million yuan
Translation and notarization required for children to return to the country	Chinese translation and certification of birth certificates and other documents	$300 – $800	0.2 – 0.6 million yuan
Domestic household registration application (after the child returns to the country)	Domestic paternity testing and settlement related costs	(According to domestic standards, about 0.5-2 million yuan)	0.5 – 20,000 yuan
Unexpected expenses reserve (recommended to set aside)	Deal with various unforeseen expenses: additional transplants, medication adjustments, complications, etc.	$5,000 – $15,000	3.6 – 108,000 yuan

9. Total cost summary and scenario comparison

Scenario A: Own sperm eggs + surrogate mother with surrogacy experience (basic plan)

Cost module	dollar range	RMB range
IVF (including PGT-A)	$13,000 – $28,000	9.4 – 202,000 yuan
Surrogate mother fees (basic compensation + additional + insurance)	$70,000 – $100,000	50.4 – 720,000 yuan
legal fees	$9,750 – $18,000	7.0 – 130,000 yuan
Institutional service fee	$27,250 – $45,000	19.6 – 324,000 yuan
Other expenses (including round trip and reserve funds)	$11,000 – $22,000	7.9 – 158,000 yuan
Scenario A Total	Approximately $131,000 – $213,000	Approximately NT$94-1.53 million

Scenario B: Need egg donation + California surrogacy (high matching plan)

Cost module	dollar range	RMB range
IVF (including PGT-A)	$13,000 – $28,000	9.4 – 202,000 yuan
Egg donation costs (full set of anonymous egg donation)	$25,000 – $85,000	18.0 – 612,000 yuan
Surrogacy fees (including California premium)	$85,000 – $140,000	61.2 – 1.008 million yuan
Legal fees (including egg donation contract)	$12,000 – $25,000	8.6 – 180,000 yuan
Institutional service fee	$27,250 – $52,000	19.6 – 374,000 yuan
Other expenses	$12,000 – $25,000	8.6 – 180,000 yuan
Scenario B Total	Approximately $174,250 – $355,000	Approximately NT$1.25-2.56 million

💡 The actual placement points of most Chinese-speaking clients:The actual costs of the vast majority of clients fall within$150,000–$220,000 (approximately 1.08–1.58 million yuan)interval, even if one’s own sperm eggs are used, the first transplant is successful, and the surrogate mother has basic insurance available. If egg donation is required or multiple transfers occur, $30,000–$80,000 is usually added to this.

10. Complete process nodes and payment timeline

The overall cycle of surrogacy in the United States is usually 18–26 months, it takes about 2 years from the initial consultation to the child returning to the country to settle down. The following are the complete process nodes and corresponding payment timeline:

Stage 1Initial consultation and agency selection (months 1–2)

Contact the surrogacy agency to complete initial communication and assessment
Client’s basic physical examination: sperm and egg assessment (AMH, AFC, semen analysis)
Sign the agreement of intent and pay the deposit to the institution
Consult with a reproductive attorney to understand your target state’s legal framework

💰 Typical payment at this stage:Institutional deposit $2,000–$5,000; lawyer consultation fee $500–$1,000

Stage 2IVF Pregnancy and Embryo Preparation (Months 2–6)

Identify an IVF fertility center (either in the United States or in other countries)
If egg donation is required: Start the donor screening and matching process (usually takes 2–4 months)
If you need to donate sperm: choose a sperm bank and buy semen
Ovulation induction, egg retrieval, fertilization, blastocyst culture
PGT-A genetic testing to obtain qualified embryos
embryo cryopreservation

💰 Typical payment at this stage:Full IVF cost $13,000–$28,000; egg donation cost (if needed) $25,000–$85,000

Stage 3Surrogate Matching and Legal Contract (Months 4–10)

The agency provides candidate information for surrogate mothers, and the client conducts screening and video interviews.
After both parties confirm the match, the legal contract drafting stage begins.
The client and the surrogate mother's lawyer independently complete the contract review and negotiation
Both parties sign GCA (Gestational Carrier Agreement)
Establish a third-party escrow account, and all expenses of the surrogate mother will be credited to the account one after another

💰 Typical payment at this stage:Institutional service fee body $20,000–$40,000; legal contract fee $5,000–$10,500; initial fund of custody account $10,000–$20,000

Stage 4Embryo transfer and pregnancy confirmation (months 10–14)

Endometrial preparation of surrogate mother (simulated cycle + formal transplant cycle)
Frozen embryo transfer (FET)
Blood HCG pregnancy test 10–14 days after transplant
After a positive pregnancy test, enter the pregnancy monitoring stage (the first 8–10 weeks are managed by the reproductive department)
Transfer to routine obstetric management after 8–10 weeks of gestation

💰 Typical payment at this stage:FET transplant cycle fee $3,500–$7,000; monthly subsidy for surrogate mother initiated

Stage 5Pregnancy management and legal rights (months 14–22)

Regular prenatal check-ups (conducted by the obstetrics department in the city where the surrogate mother is located)
The client can choose to participate in important prenatal check-ups (such as 20-week-old ovulation)
28–32 weeks of pregnancy: Apply to court for a Pre-Birth Order
Waiting for court approval of PBO (usually 4–8 weeks)
After the court approves, notify the hospital and birth registration department

💰 Typical payment at this stage:PBO legal fees $3,000–$6,500; additional allowances for surrogate mothers during pregnancy continue to be released

Stage 6Delivery and discharge (months 22–24)

The client travels to the United States before delivery (it is recommended to arrive 2–4 weeks in advance)
Birth of a child: The birth certificate is directly registered by the entrusting party to the parents (according to PBO)
Apply for a U.S. Social Security Number (SSN) within 24–48 hours of your child’s birth
Apply for a U.S. passport (valid for 5 years)
Surrogate mother’s delivery bonus and subsequent payment settlement
Hospital delivery expenses are settled through insurance and escrow accounts

💰 Typical payment at this stage:Childbirth-related balance payment; surrogate mother’s postpartum allowance

Stage 7Return procedures and settlement (months 24–26)

U.S. birth certificate certified by the Secretary of State’s Office (Apostille/Authentication)
The Chinese Consulate in the United States will conduct consular authentication (if necessary)
Paternity test after the child returns to China (required by household registration in some provinces and cities)
Domestic household registration and related procedures

💰 Typical payment at this stage:Document certification fee $300–$800; domestic settlement-related fees 0.5 million–20,000 yuan

⏰ Timeline Tips:If IVF egg retrieval and surrogate mother matching can be advanced in parallel (many institutions support this), the overall cycle can be compressed to 18–22 months. If multiple transplants, surrogate mother changes, or other unexpected situations occur, the cycle will be extended accordingly.

11. The United States vs. other mainstream surrogacy countries: cost and protection comparison

Contrast Dimensions	USA	🇰🇬 Kyrgyzstan	🇬🇪 Georgia
Total cost (RMB)	About 1 million – 2 million yuan	About NT$500,000 – NT$800,000	Approximately NT$450,000 – NT$750,000
Level of legal protection	Highest (Pre-Birth Order, strong enforcement)	High (notarization agreement + birth certificate direct registration entrusting party)	Higher (the law clearly stipulates that the agreement is valid)
Applicable people	Married/single/same-sex/single (varies by state)	Mainly married couples, some types of unmarried couples are possible	Only married heterosexual couples
IVF success rate data transparency	Highest (CDC/SART public annual report, available by clinic)	medium	medium
child nationality	Automatically acquires U.S. citizenship (jus-re-principle)	No additional nationality, depends on parents	No additional nationality, depends on parents
Complexity of return procedures	Medium (U.S. passport is convenient for entry, and there are standard procedures for consular authentication)	Medium (Apostille Certification)	Medium (Apostille Certification)
Chinese service support	Need to rely on the organization’s Chinese coordination capabilities	Better (more Chinese service agencies)	generally

Who is suitable for surrogacy in the United States?

Sufficient budget (total budget is more than RMB 1 million)
They have extremely high requirements for legal protection and hope that their children will obtain U.S. citizenship.
Single men, same-sex male couples (Kyrgyzstan and Georgia have restrictions on this group of people)
Want to complete IVF in the most transparent reproductive medical system in the world

Want to know if surrogacy in the United States is right for your specific situation?

FS Global Ferticare offers free one-on-one consultations to help you evaluate the most suitable path based on your sperm and egg situation, budget, timeline and legal requirements.

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