Surrogates receive payment if they miscarry. This comprehensive guide explains how surrogate compensation works during pregnancy loss, covering milestone-based payments ($500-$2,500 for contract signing, medical clearance, and embryo transfers), timeline-specific policies based on when miscarriage occurs, recovery support including one month's additional pay, continued medical coverage for 3-6 months, and emotional counseling services. The guide details what payments surrogates keep (all pre-transfer earnings, monthly pay through loss, and reimbursements), support systems provided after miscarriage, contract terms that protect both surrogates and intended parents, and variations between agency programs and independent arrangements. From understanding ASRM guidelines to navigating the emotional reality of pregnancy loss, this guide provides surrogates with complete information about their financial security and support during one of the most difficult aspects of the surrogacy journey.