What Do You Need to Pay Attention to in a Surrogacy Contract?

Embarking on a surrogacy journey—whether as an intended parent or someone hoping to become a surrogate—comes with excitement, emotion, and a long list of responsibilities. But amid all the medical appointments, profile matching, and hopeful anticipation, there’s one crucial step that absolutely can’t be overlooked: the surrogacy contract.

This legal agreement is the foundation of your entire surrogacy journey. It defines the rights, responsibilities, expectations, and protections for both the surrogate and the intended parents. And while a surrogacy agency will guide you through much of the process, the contract itself is something that everyone involved needs to read, understand, and take seriously.

In this article, we’ll break down what you need to pay attention to in a surrogacy contract, why each clause matters, and how working with a reputable surrogacy agency in California or elsewhere can ensure you’re fully protected—legally, medically, and emotionally.

1. Why the Surrogacy Contract Is Non-Negotiable

Let’s start with the basics: a surrogacy contract is a legal document that must be signed before any medical procedures (like embryo transfer) can begin. It’s required in almost every state where surrogacy is legal and is designed to:

  • Protect the legal parentage of the intended parents

  • Ensure the surrogate’s health and rights are prioritized

  • Define how key decisions will be made during the pregnancy

  • Detail the compensation structure and covered expenses

  • Prevent disputes by outlining everyone’s roles clearly

In California—widely regarded as one of the most surrogacy-friendly states—surrogacy contracts must be drafted and reviewed by independent legal counsel for both parties. Any reputable surrogacy agency in California will enforce this standard.

1.1 Parentage and Legal Custody

The most important part of any surrogacy contract is determining who the legal parents of the child will be.

Key points to look for:

  • Clear statement that the intended parents will be the legal parents from birth

  • Confirmation that the surrogate will have no parental rights or responsibilities

  • Language supporting pre-birth orders, especially in California where these are common

  • Instructions for the hospital on who will be involved in delivery and discharge

If you’re an intended parent, this clause protects your legal bond with your future child. If you’re applying to be a surrogate, this guarantees you won’t face future custody disputes or obligations.

1.2 Compensation and Reimbursement

For surrogates, compensation is more than a paycheck—it’s recognition of the time, energy, and medical risk involved. Every surrogacy contract must spell out:

  • Base compensation (typically paid in monthly installments once pregnancy is confirmed)

  • Itemized reimbursements: including maternity clothes, mileage, lost wages, child care, etc.

  • Payments for milestones or complications, such as:

    • Embryo transfer fees

    • Invasive procedure compensation (e.g., amniocentesis)

    • Cesarean delivery compensation

    • Bed rest or lost income

If you’re preparing to apply to be a surrogate, make sure you understand when payments start, what’s included, and how it’s distributed.

1.3 Medical Decisions and Consent

What happens if the baby has a medical issue? Or if pregnancy complications arise?

This part of the contract outlines how medical decisions will be made, including:

  • Who has final say in the event of an emergency

  • Whether the surrogate agrees to undergo termination or selective reduction (if medically advised)

  • How communication will be handled between the surrogate, intended parents, and OB/GYN

  • Rights of the surrogate to accept or decline procedures based on comfort or beliefs

These are sensitive but vital conversations. Good agencies will encourage full transparency long before legal review begins.

1.4 Insurance and Financial Responsibility

Medical bills can escalate quickly during a pregnancy, especially one involving IVF or complications. A surrogacy contract should specify:

  • Who pays for the surrogate’s health insurance premiums

  • Whether a surrogacy-specific insurance policy is needed (common if the surrogate’s plan excludes surrogacy)

  • Coverage for life insurance and disability insurance for the surrogate

  • Clarification on who pays out-of-pocket costs (e.g., copays, deductibles)

If you’re an intended parent, this section protects your financial planning. For surrogates, it’s a safeguard to ensure you’re never left responsible for bills related to the journey.

1.5 Confidentiality and Communication Expectations

Surrogacy is a deeply personal experience, but it’s also a partnership. Contracts typically include guidelines for:

  • Frequency and method of communication (texts, calls, updates)

  • Social media guidelines—who can share updates, baby info, etc.

  • Respect for each other’s privacy and boundaries

  • Handling media requests or public attention (especially in celebrity cases or high-profile matches)

If you’re working with a professional surrogacy agency, they’ll often help mediate communication and keep things positive.

1.6 Travel and Restrictions During Pregnancy

Since embryo transfer and prenatal care may take place in specific cities, the contract outlines:

  • Whether the surrogate is allowed to travel (and how far) after a certain point in the pregnancy

  • Agreement on relocating if required by law or medical need

  • Restrictions on alcohol, medications, caffeine, exercise, and risky activities

  • Guidelines for vaccinations and healthcare protocols

Some of these may seem strict, but they’re designed to protect the health of both surrogate and baby.

1.7 Unexpected Situations and Emergency Protocols

No one wants to think about what could go wrong—but a solid surrogacy contract must address:

  • What happens if the pregnancy ends early or results in stillbirth

  • What if the surrogate experiences serious medical complications?

  • What if the intended parents separate or change their minds during the process?

  • What legal actions are available if either party breaks the agreement?

These clauses provide critical legal protection and reduce ambiguity if things don’t go according to plan.

1.8 Post-Birth Arrangements and Support

While the legal relationship often ends after delivery, many contracts clarify:

  • Whether there will be ongoing contact or updates

  • Whether the surrogate can see the baby after birth

  • How hospital delivery will be handled—who’s in the room, what the birth plan is, etc.

  • Terms of any postpartum care coverage for the surrogate (e.g., counseling, medical follow-ups)

It’s important to be emotionally aligned before signing. If either party wants a closed or open relationship, it should be mutually agreed upon and written into the document.

2. Working With a Surrogacy Agency in California

If you’re navigating this process in California, you’re in luck—this state leads the nation in supportive surrogacy law. But it still pays to work with a licensed surrogacy agency in California that knows how to manage the fine details.

A strong agency will:

  • Connect you with experienced attorneys for independent contract review

  • Provide template agreements vetted by surrogacy legal experts

  • Help you negotiate clauses that fit your situation

  • Ensure compliance with state and federal regulations

  • Offer emotional support if any legal issues arise

If you’re ready to apply to be a surrogate, working with a trusted California-based agency ensures your surrogacy contract is fair, thorough, and enforceable.

What You Need To Know About Surrogacy Contract

3. A Surrogacy Contract Is A Binding Agreement For Your Journey

A surrogacy contract is not just a formality—it’s a legally binding agreement that sets the tone for your entire journey. Whether you’re planning to become a surrogate or you’re growing your family through surrogacy, this document deserves your full attention. If there’s anything you don’t understand, ask. If something feels vague or missing, ask for clarification. And never sign until your independent legal counsel (yes, you need your own attorney) has reviewed every word. This isn’t just about legal safety—it’s about respecting the people involved in creating life. And that’s worth every careful step.

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