Intended Parents
15 Questions to Ask Before Choosing a Surrogacy Agency in 2026
January 10, 2026 · 8 min read · On Fertility Ground Surrogacy
Selecting a surrogacy agency is one of the most important decisions you'll make on your path to parenthood. The right agency will support you through every step, while the wrong choice can lead to delays, stress, and financial complications. Here are essential questions to ask before making your decision.
About the Agency
1. How long have you been in business?
Experience matters in surrogacy. Look for agencies with a proven track record and established processes.
2. Are you licensed and accredited?
Ask about professional affiliations, memberships in organizations like SEEDS or the American Society for Reproductive Medicine, and any state licensing requirements.
3. What is your success rate?
Ask specifically about successful matches, pregnancy rates, and live birth rates. Be wary of agencies that won't share this data.
About the Process
4. What is your surrogate screening process?
Comprehensive screening should include medical exams, psychological evaluations, background checks, and home assessments.
5. How do you match intended parents with surrogates?
Understand the matching criteria and whether you'll have input in the selection process.
About Support
6. Will we have a dedicated case manager?
Having one point of contact who knows your case inside and out makes a significant difference.
7. What support do you provide during and after the journey?
Look for agencies offering counseling, support groups, and resources for the entire journey including post-birth.
About Finances
8. Can you provide a detailed breakdown of all costs?
Transparency is essential. You should receive a comprehensive estimate including agency fees, surrogate compensation, medical costs, legal fees, and potential additional expenses.
9. What is your refund policy?
Understand what happens financially if the match doesn't work out or other complications arise.
Trust Your Instincts
Beyond these questions, pay attention to how the agency makes you feel. Do they listen to your concerns? Are they responsive to your questions? The best agency for you is one that combines professionalism with genuine care for your family-building dreams.