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The hard questions, answered straight.
The questions parents and surrogates ask that most agency websites avoid. New ones come from SurrogacyHotline every month.
For intended parents
- How do I know my money is safe?
You know your money is safe when it is not in the agency's possession.
- What happens to my money if the agency closes?
If funds are in independent escrow, they remain yours under the escrow agreement and are released on the contract schedule or returned, regardless of what happens to the agency.
- How long will I really wait for a surrogate?
With PLS, the time from signed agreement to an accepted match has averaged about nine months [CONFIRM], and our target for 2027 is six months or fewer.
- What is your success rate, and what does that number mean?
Any single success rate is misleading.
- Can I choose my surrogate?
Yes, and she chooses you.
- What if my surrogate changes her mind?
Before embryo transfer a surrogate may withdraw; after transfer the gestational carrier agreement governs, and in Illinois she has no parental rights to the child.
- What if the transfer fails?
About [X]% of transfers do not result in a clinical pregnancy [cite SART by age group].
- What if there is a miscarriage?
Early pregnancy loss occurs in roughly 10 to 20 percent of recognized pregnancies [cite ACOG].
- Why is the agency fee non-refundable?
Because most of the work happens before a match: recruiting, screening, physician record review, and the hours of a nurse and two case managers.
- Why do you not offer a money-back guarantee like other agencies?
Guarantees are priced in.
- Is a boutique agency riskier than a big one?
The risk is not size.
- Why is the physician an anesthesiologist, not an OB?
Because the task is reading records, not delivering babies.
- Can I do this as a single parent, a gay couple, or from outside the US?
Yes to all three.
- How much contact will I have with my surrogate?
As much as you both agree to.
- Do I have to buy my surrogate health insurance?
Only if her own policy excludes surrogate pregnancies.
- What does a pre-birth order do, and will my name be on the birth certificate?
In Illinois, intended parents who meet the Gestational Surrogacy Act's requirements are the legal parents at birth and are named on the original birth certificate; the process is an attorney certification, not a court hearing [CONFIRM with counsel].
- Why should I pay $60,000 or more to a surrogate?
Because it is the market rate for a 15-month commitment that includes injections, medical risk, lost work and a pregnancy, and because below-market pay lengthens your wait.
- Can I use a friend or family member as my surrogate?
Yes.
- What do you not do?
We do not employ the psychologist, the attorney or the escrow agent, so none of them answers to us.
- What happens to my embryos and my money if we divorce or one of us dies during the journey?
Your gestational carrier agreement and your clinic's embryo disposition consent both address this, and your attorney will walk you through the options before signing.
For surrogates
- Will I get paid if the transfer fails or I miscarry?
Yes, for what you have done.
- Can I be a surrogate if I have had a C-section?
Usually yes, with one or two prior cesareans and an uncomplicated recovery.
- Can I be a surrogate if I take antidepressants or have a history of depression?
Current PLS criteria exclude candidates currently taking antidepressants [CONFIRM], and most clinics require 6 to 12 months off medication with your prescriber's support.
- Do I have to be married, or have a partner?
No.
- What are the medical risks to me?
The pregnancy risks you already know from your own births, plus the medication side effects of a frozen embryo transfer cycle (bloating, mood changes, injection-site soreness) and a slightly higher rate of certain complications in IVF pregnancies [cite].
- Who pays if something goes wrong and I need surgery or bed rest?
The intended parents, through escrow.
- Is surrogate compensation taxed?
There is no definitive IRS ruling.
- Can I still be a surrogate if I am on Medicaid or WIC?
No.
- What happens if my agency goes out of business while I am pregnant?
Your contract is with the intended parents, not the agency, and your compensation is in an independent escrow account, so the money continues to be paid.
- Do I have to have an abortion or reduction if the parents ask?
You cannot be forced to undergo any procedure; the law protects your bodily autonomy.
- Can I be a surrogate at 42 or 43?
Yes, PLS accepts candidates to age 43, and clinics evaluate candidates over 40 case by case with a closer look at blood pressure, prior pregnancy complications and uterine health.
- How soon after my own baby can I apply?
You can apply once you have stopped breastfeeding and resumed regular cycles; most clinics require at least 6 months after a vaginal birth and 12 months after a cesarean before an embryo transfer, so applying 6 to 9 months after delivery lines up with the screening timeline.
- Will I have any rights or obligations to the baby?
No.
- What if I do not like the intended parents?
Then you do not match.
- Can I travel, work and exercise during the pregnancy?
Yes, within limits the contract and your OB set: no travel in the last trimester without agreement, no activities the OB restricts, and some contracts limit travel to states with unfavorable surrogacy law.
- Why do I need my own lawyer?
Because the contract governs your body, your compensation and a year of your life, and the parents' lawyer represents the parents.
- What is the psychological evaluation looking for?
That you understand the process, that your support system is real, that you can handle the relationship and the possible outcomes, and that you are not under financial or family pressure.
- How many embryos will be transferred?
Usually one.
- What support will I actually get?
A case manager who has been a surrogate and is reachable after hours; six consultations with a registered dietitian; mental-health support from an independent counselor; a nurse, Nancy, who interviewed you; a physician who read your records; and a team that rebooked a stranded surrogate's hotel, car and flight at night.
- Can I do this again?
Yes, and experienced surrogates are matched fastest.