How Much Does Surrogacy Cost in India?

by | Mar 26, 2023 | Pregnancy

What is Surrogacy?

Surrogacy

Surrogacy

Surrogacy is an alternative method of having a child for individuals or couples who are unable to conceive naturally. In this process, a surrogate mother carries and delivers a baby for the intended parents.

 

What Are the Types of Surrogacy?

While there are two main types of surrogacy (traditional and gestational), each can be further divided based on the surrogate’s relationship to the intended parents and the use of donor eggs or sperm. Here are the four types of surrogacy:

  1. Traditional Surrogacy: In traditional surrogacy, usually, the surrogate mother’s egg is fertilized by the intended father’s sperm or donor sperm, making her the biological mother of the child. This type of surrogacy is less common today due to the legal and emotional complications that may arise from the surrogate’s genetic link to the baby.
  1. Gestational Surrogacy: Gestational surrogacy is the most common type of surrogacy in India today. In this process, the surrogate mother carries a baby that is not genetically related to her. The embryo is created using in-vitro fertilization (IVF) with the intended parents’ eggs and sperm, or donor eggs and sperm. Gestational surrogacy can be further divided into:
  • Full Gestational Surrogacy: The intended mother’s eggs and the intended father’s sperm are used to create the embryo.
  • Partial Gestational Surrogacy: Either the intended mother’s eggs or the intended father’s sperm is combined with a donor’s eggs or sperm to create the embryo.
  1. Altruistic Surrogacy: Altruistic surrogacy is an arrangement in which the surrogate mother does not receive any financial compensation beyond reimbursement for medical and pregnancy-related expenses. Often, the surrogate is a close friend or family member of the intended parents who agrees to help them have a child out of love and compassion.
  1. Commercial Surrogacy: In commercial surrogacy, the surrogate mother receives financial compensation in addition to the reimbursement for medical and pregnancy-related expenses. This type of surrogacy is legal in some countries and US states, while it is prohibited or heavily regulated in others.

 

Why is Surrogacy Required?

Surrogacy can be a lifeline for those who face various challenges in having a child. Some reasons why surrogacy might be required include:

  1. Infertility: Couples who have tried various fertility treatments without success may turn to surrogacy as a last resort.
  2. Medical Conditions: Some women have medical conditions, such as uterine issues, that prevent them from carrying a pregnancy to term.
  3. Same-sex Couples: Male same-sex couples who wish to have a child genetically related to one or both partners require a surrogate mother to carry the baby.
  4. Single Individuals: Single men who want to have a biological child can use surrogacy as an option.
  5. Age: Some women may experience age-related fertility issues and decide to use a surrogate to carry their child.

 

Who Needs Surrogacy?

Surrogacy may be the best option for a variety of individuals and couples, including:

  1. Infertile Couples: Couples who have tried other fertility treatments, such as IVF or intrauterine insemination (IUI), without success might consider surrogacy.
  2. Women with Medical Conditions: Some women have medical conditions that make pregnancy dangerous or impossible. In these cases, surrogacy can be a safe alternative.
  3. Same-sex Couples: For male same-sex couples, surrogacy provides a way to have a child that is genetically related to one or both partners.
  4. Single Men: Single men who want to become fathers can turn to surrogacy to have a child genetically related to them.
  5. Cancer Survivors: Women who have undergone cancer treatments that affected their fertility can use surrogacy as a way to have a child.

Surrogacy is a life-changing decision, and it is essential for the intended parents, surrogate mother, and involved medical professionals to thoroughly understand the process, legal requirements, and potential emotional challenges. By working together, they can ensure a positive experience for everyone involved and bring the gift of life into the world.

 

Surrogacy Cost in India:

Surrogacy in India has become a popular option for many international intended parents due to the lower costs and availability of skilled medical professionals. However, it is essential to note that commercial surrogacy for foreign nationals has been banned in India since 2015. Only Indian residents are allowed to pursue surrogacy within the country. Here, we provide a breakdown of the costs associated with surrogacy in India for residents:

 

Medical and Surrogacy-Related Expenses:

The cost of surrogacy in India can vary depending on the specific services required and the fertility clinic chosen. Some of the medical expenses involved in the surrogacy process include:

  1. In-vitro Fertilization (IVF): The cost of IVF can range from ₹1.5 to ₹2.5 lakhs per cycle.
  2. Egg/Sperm Donor Fees: If donor eggs or sperm are required, the cost can range from ₹37.5k to ₹1.2 lakhs.
  3. Surrogate Mother Compensation: Compensation for the surrogate mother in India can vary, but it typically ranges between ₹3.75 to ₹5.25 lakhs.
  4. Medical Expenses: Prenatal care, delivery, and any medical expenses for the surrogate mother can range from ₹2.25 to ₹3.75 lakhs.
  5. Medications: Fertility medications and hormonal treatments for both the intended mother and the surrogate can cost between ₹75k to ₹2.25 lakhs..

 

Additional Costs of Surrogacy in India:

Apart from the medical expenses, there may be additional costs involved in the surrogacy process:

  1. Surrogacy Agency Fees: If a surrogacy agency is involved in matching and managing the surrogacy process, their fees can range from ₹1.5 to ₹3.75 lakhs.
  2. Legal Fees: Legal expenses, including drafting surrogacy contracts and handling parental rights, can range between ₹75k to ₹2.25 lakhs.
  3. Counseling and Support Services: Psychological screening and support services for the intended parents and the surrogate mother may cost between ₹37k to ₹1.5 lakhs.

 

Total Surrogacy Cost in India :

Considering all the factors listed above, the cost of surrogacy is approximately 12 to 22 lakhs depending on the type of surrogacy procedure. It is crucial to note that these costs are estimates and can vary based on individual circumstances and clinic or agency pricing.

Please keep in mind that the surrogacy laws in India have been changing, and it is essential to stay up-to-date with the current legal framework before embarking on a surrogacy journey. It’s highly recommended to consult with a qualified surrogacy lawyer and choose a reputable fertility clinic or surrogacy agency to ensure a smooth and successful process.

 

Surrogacy Procedures Cost in India:

Surrogacy Procedure Cost Range (₹)
In-vitro Fertilization (IVF) ₹1.5 – ₹3 lakhs
Egg/Sperm Donor Fees ₹37.5k – ₹1.1 lakhs
Surrogate Mother Compensation ₹3.75 – ₹5.25 lakhs
Medical Expenses (prenatal care, delivery) ₹2.25 – ₹3.75 lakhs
Medications (fertility and hormonal) ₹75k – ₹2.25 lakhs
Surrogacy Agency Fees ₹1.5 – ₹3.75 lakhs
Legal Fees ₹75k – ₹2.25 lakhs
Counseling and Support Services ₹37.5k – ₹1.5 lakhs
Total Estimated Cost ₹15 – ₹20 lakhs

Surrogacy Cost In Different City Of India:

City Estimated Cost Range (₹)
Surrogacy Cost in Mumbai ₹15 – ₹25 lakhs
Surrogacy Cost in Delhi ₹15 – ₹23 lakhs
Surrogacy Cost in Bangalore ₹15 – ₹22 lakhs
Surrogacy Cost in Hyderabad ₹15 – ₹20 lakhs
Surrogacy Cost in Chennai ₹15 – ₹19 lakhs
Surrogacy Cost in Kolkata ₹15 – ₹21 lakhs
Surrogacy Cost in Ahmedabad ₹15 – ₹20 lakhs

Factors Affecting Surrogacy cost in India:

The cost of surrogacy in India can vary depending on several factors. In this article, we’ll explore these factors in an easy-to-understand and engaging manner.

  1. Type of Surrogacy: There are two main types of surrogacies that can affect the overall cost:

a.)Traditional Surrogacy: In traditional surrogacy, the surrogate’s egg is used, and she is artificially inseminated with the intended father’s sperm. This type is generally less expensive because it doesn’t require advanced medical procedures like In Vitro Fertilization (IVF).

b.)Gestational Surrogacy: Gestational surrogacy involves the creation of an embryo using the intended parents’ eggs and sperm, or donor eggs and sperm, which is then implanted in the surrogate’s uterus. This method is more expensive due to the need for IVF treatments and additional medical procedures.

  1. Clinic and Doctor’s Fees: The choice of clinic and doctor can significantly impact the cost of surrogacy. High-end clinics with experienced doctors and state-of-the-art facilities will charge more for their services. It’s essential to research and compares different clinics and doctors to find a balance between quality care and affordability.
  1. Surrogate’s Compensation: The surrogate mother’s compensation is a significant part of the overall cost of surrogacy. Surrogates in India typically receive lower compensation than those in Western countries, but the amount can still vary depending on factors such as experience and location. It’s important to discuss and agree on compensation with the surrogate before beginning the process.
  1. Egg and Sperm Donors: If the intended parents are unable to provide their own eggs or sperm, they may need to use a donor. The cost of donor eggs or sperm will depend on factors such as the donor’s age, health, and background. Additionally, the process of screening and selecting a suitable donor can add to the overall cost of surrogacy.
  1. Legal Fees: Surrogacy involves various legal processes, including drafting and signing contracts, obtaining necessary documentation, and navigating the complex legal landscape surrounding surrogacy. Legal fees can vary depending on the complexity of the case and the expertise of the attorney. It’s essential to budget for legal fees when considering the cost of surrogacy.
  1. Medical Expenses: Medical expenses associated with surrogacy can vary depending on the specific treatments and procedures required. Some examples of medical costs include:
  • IVF treatments
  • Medications and hormones
  • Prenatal care for the surrogate
  • Delivery and postnatal care for the surrogate and baby
  • Potential complications and additional treatments
  1. Travel and Accommodation: If the intended parents live outside of India, travel and accommodation costs can add to the overall cost of surrogacy. Flights, hotels, and local transportation should be budgeted for, as well as additional expenses for food and miscellaneous items. It’s also essential to consider the possibility of multiple trips to India during the surrogacy process.

Twin Surrogacy Cost in India:

Surrogacy has become a viable option for couples and individuals who are unable to conceive or carry a child naturally. Twin surrogacy is a specific case where the surrogate mother carries twins for the intended parents. In this article, we will discuss the costs associated with twin surrogacy in India, surrogate mother compensation, base compensation, and supplemental payments.

The cost of twin surrogacy in India varies depending on various factors such as the fertility clinic, surrogacy agency, and location. In general, the cost of twin surrogacy is higher than single pregnancies due to increased medical expenses, surrogate compensation, and potential risks. Here’s an overview of the twin surrogacy cost in India:

  1. Medical Expenses: Twin surrogacy requires additional prenatal care, monitoring, and medical support to ensure the health of both babies and the surrogate mother. This can increase medical expenses by ₹1,50,000 to ₹3,00,000.
  2. Surrogate Mother Compensation: Carrying twins often involves additional risks and challenges for the surrogate mother, leading to increased compensation. The surrogate mother’s compensation for a twin pregnancy can be approximate ₹1,00,000 to ₹2,00,000 higher than a single pregnancy.
  3. Delivery Expenses: Twin deliveries often require a cesarean section, which is more expensive than a natural birth. The cost difference can range from ₹50,000 to ₹1,00,000.

Considering the above factors, the estimated cost of twin surrogacy in India can range from ₹14,00,000 to ₹27,00,000. It is important to note that these costs are approximate and can vary based on individual circumstances, clinics, and agencies.

 

Surrogate Mother Compensation in India:

In India, the surrogate mother’s compensation depends on various factors such as the type of surrogacy (altruistic or commercial), location, and experience. The average compensation for a surrogate mother in India can range from ₹3,75,000 to ₹5,25,000 for a single pregnancy. For a twin pregnancy, the compensation can increase by ₹1,00,000 to ₹2,00,000, making the total compensation range from ₹4,75,000 to ₹7,25,000.

Base Compensation

Base compensation refers to the amount a surrogate mother receives as her primary payment for carrying the child. This compensation is determined by factors such as the surrogate’s experience, location, and the type of pregnancy (single or twin). The base compensation typically ranges from ₹3,00,000 to ₹4,50,000 for a single pregnancy and ₹4,00,000 to ₹6,00,000 for a twin pregnancy.

Supplemental Payments

Supplemental payments are additional expenses and compensations provided to the surrogate mother on top of the base compensation. These payments can include:

  1. Medical Expenses: Reimbursement for prenatal care, delivery, and any other medical expenses incurred during the pregnancy. These costs can range from ₹2,25,000 to ₹3,75,000.
  2. Medications: Costs for fertility medications and hormonal treatments, can range from ₹75,000 to ₹2,25,000.
  3. Travel Expenses: Reimbursement for travel to and from the fertility clinic, hospital, and any other related appointments.
  4. Maternity Clothing Allowance: A one-time allowance for maternity clothing, which can range from ₹5,000 to ₹15,000.
  5. Lost Wages: If the surrogate mother needs to take time off work due to the pregnancy, she may be compensated for lost wages.

 

How Is the Surrogate Mother Arranged in India?

The process of finding a suitable surrogate mother is an essential step in the surrogacy journey. In India, surrogate mothers can be arranged through surrogacy agencies or fertility clinics, or sometimes independently through personal connections. In this article, we will discuss how surrogate mothers are arranged in India and the surrogate screening process.

Arranging a Surrogate Mother in India:

There are a few different ways to arrange a surrogate mother in India:

  1. Surrogacy Agencies: Surrogacy agencies are organizations that specialize in matching intended parents with surrogate mothers. They maintain a database of potential surrogate mothers who have undergone initial screening and meet specific eligibility criteria. The agency will help match the intended parents with a surrogate based on factors such as health, medical history, and personal preferences. Surrogacy agencies often provide comprehensive services, including legal assistance, case management, and support throughout the surrogacy process.
  2. Fertility Clinics: Some fertility clinics in India also offer surrogate matching services. They may have a list of potential surrogate mothers who have undergone initial medical screening and are ready to participate in a surrogacy arrangement. Fertility clinics that offer surrogacy services typically have a team of professionals, including doctors, nurses, and embryologists, who provide medical care and support throughout the surrogacy journey.
  3. Independent Arrangements: In some cases, intended parents may find a surrogate mother independently through personal connections, such as friends or family members. In these situations, it is crucial to consult with a surrogacy lawyer and a qualified medical professional to ensure that all legal and medical requirements are met.

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The procedure of Surrogacy:

The surrogacy process involves several steps to ensure the well-being of the surrogate mother, the intended parents, and the future child. Here’s an overview of the surrogacy procedure:

  1. Choosing a Surrogacy Path: The intended parents must decide on the type of surrogacy that best suits their needs and circumstances. They should consider factors such as legalities, financial aspects, and their relationship with the surrogate.
  2. Screening and Matching: The intended parents and the surrogate mother undergo thorough medical and psychological evaluations to ensure they are physically and emotionally prepared for the surrogacy process. A surrogacy agency or lawyer can help match the intended parents with a suitable surrogate based on their preferences and compatibility.
  3. Legal Agreements: A surrogacy contract is drawn up by an attorney, outlining the rights, responsibilities, and expectations of both parties. This contract must be signed by the intended parents and the surrogate mother before proceeding with medical treatments.
  4. Medical Procedures: The surrogate mother undergoes fertility treatments to prepare her body for embryo transfer. If the intended mother’s eggs are used, she will undergo ovarian stimulation and egg retrieval. The eggs are then fertilized with the intended father’s or donor’s sperm through IVF to create the embryo(s). The embryo(s) are transferred to the surrogate mother’s uterus, where they will hopefully implant and result in a successful pregnancy.
  5. Pregnancy and Birth: The surrogate mother receives prenatal care and regular check-ups throughout the pregnancy to monitor the health of the baby and herself. The intended parents may be involved in the pregnancy, attending appointments and staying in close communication with the surrogate, depending on their agreement.
  1. Post-Birth: After the baby is born, the surrogate mother and the intended parents complete any necessary legal procedures to establish the intended parents’ parental rights. This may include obtaining a pre-birth order or post-birth adoption, depending on the jurisdiction. The baby is then placed in the care of the intended parents, and they begin their journey as a new family.
  2. Post-Surrogacy Support: The surrogate mother and the intended parents may maintain contact after the birth, depending on their initial agreement and the bond formed during the process. It’s essential to have access to emotional and psychological support for both the surrogate and the intended parents during and after the surrogacy journey, as it can be an emotionally complex experience.

The surrogacy process can be a long and emotional journey for all parties involved. It is crucial to have a strong support system in place, including medical professionals, legal experts, and surrogacy agencies or consultants, to ensure the best possible outcome for the surrogate mother, intended parents, and the child.

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Surrogate Screening:

Surrogate screening is a crucial step in the surrogacy process to ensure the health and well-being of the surrogate mother and the baby. The surrogate screening process usually involves the following steps:

  1. Initial Eligibility Screening: The surrogate mother must meet specific eligibility criteria, such as age (usually between 21-35 years), having at least one healthy child, and being in good overall health. She should not have any history of significant medical complications during previous pregnancies or deliveries.
  2. Medical Evaluation: The surrogate mother undergoes a thorough medical examination, including blood tests, pelvic ultrasound, and infectious disease screening to ensure she is physically capable of carrying a pregnancy to term. The evaluation also includes a review of her medical history and any potential health risks.
  3. Psychological Assessment: A licensed mental health professional evaluates the surrogate mother’s psychological well-being and readiness to participate in a surrogacy arrangement. This assessment helps ensure that the surrogate understands the emotional and psychological aspects of surrogacy and is prepared to handle the challenges and responsibilities involved.
  4. Background Check: A background check may be conducted to verify the surrogate mother’s identity, criminal history, and financial stability. This process helps ensure the safety and well-being of all parties involved in the surrogacy arrangement.
  5. Infectious Disease Screening: Surrogate mothers are tested for infectious diseases such as HIV, hepatitis B and C, and syphilis to minimize the risk of transmission to the baby.
  6. Drug and Alcohol Screening: The surrogate mother may be screened for drug and alcohol use to ensure a healthy pregnancy and minimize any potential risks to the baby.

Arranging a surrogate mother in India can be done through surrogacy agencies, fertility clinics, or independent arrangements. A thorough surrogate screening process involving medical, psychological, and background evaluations helps ensure the health and well-being of the surrogate mother and the baby. Working with reputable professionals and staying informed about the legal and medical requirements is crucial for a successful surrogacy journey in India.

 

F.A.Q:

Q: Where is surrogacy cheapest in India?

A: Surrogacy is generally cheaper in states like Gujarat and Kerala in India, where it costs around $20,000-$30,000. However, the cost may vary depending on the clinic and the services provided.

Q: Is surrogacy legal in India?

A: Surrogacy is legal in India but only for married couples who are Indian citizens. Foreign nationals, same-sex couples, and single individuals are not allowed to undergo surrogacy in India.

Q: What is the overall cost of surrogacy?

A: The overall cost of surrogacy varies depending on several factors such as the location of the clinic, the services provided, and the medical condition of the surrogate. In India, the cost ranges from $20,000-$30,000.

Q: Is surrogacy cheaper than IVF?

A: Surrogacy is generally more expensive than IVF because it involves additional costs such as surrogate compensation, legal fees, and medical expenses. However, the cost may vary depending on the clinic and the services provided.

Q: Why is surrogacy costly in India?

A: The cost of surrogacy in India includes medical expenses, surrogate compensation, legal fees, and other associated costs. Surrogacy in India is cheaper compared to other countries because of lower medical expenses and affordable surrogate compensation.

Q: Why did India ban surrogacy?

A: In 2015, India banned commercial surrogacy due to concerns about the exploitation of poor women who acted as surrogates, as well as cases of surrogacy rackets and unethical practices in the industry. The Indian government only allows altruistic surrogacy, where the surrogate is not paid for her services.

Q: What’s the cheapest surrogate?

A: It is not ethical to consider a surrogate as “cheap.” Surrogacy involves a complex and emotional process that requires careful consideration and support for all parties involved.

Q: Which state has the cheapest surrogacy?

A: The cost of surrogacy may vary depending on the clinic and services provided. However, states like Gujarat and Kerala in India are known for their relatively lower surrogacy costs.

Q: Where are the cheapest surrogate?

A: Countries like India and Ukraine are known to offer relatively lower surrogacy costs compared to other countries.

Q: What is the cheapest country for surrogacy?

A: The cost of surrogacy may vary depending on the clinic and services provided. However, countries like India and Ukraine are known to offer relatively lower surrogacy costs compared to other countries.

Q: Do surrogates get paid if they miscarry?

A: The contract between the surrogate and the intended parents usually includes provisions for compensation if the surrogate miscarries or experiences other pregnancy-related complications. However, the specifics of such arrangements may vary depending on the individual agreement.

Q: Why is surrogacy so expensive?

A: Surrogacy involves complex medical procedures, legal and administrative costs, and compensation for the surrogate. Additionally, the cost of surrogacy may vary depending on the clinic and the services provided, leading to a higher cost overall.

 

 

Under the Indian Surrogacy (Regulation) Act, 2021, altruistic surrogacy is permitted, where surrogates are close relatives who receive no financial gain.

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    Dr Mona Dahiya

    Dr Mona Dahiya

    IVF Specialist & Consultant

    Dr Mona Dahiya has performed over 10,000+ IVF cycles and is considered a global expert in IVF, ICSI, IUI and male fertility treatment. She is an eminent writer on Infertility Treatment and has over 100 Publications in both International and National Journals. Dr Mona Dahiya has immensely contributed to the field of infertility through her Research and articles.

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