Surrogate requirements
What is required to become a surrogate?
Clinics and agencies set their own criteria, but most follow similar basics around age, pregnancy history, health, and support. Use this as a starting point—not a final medical or legal determination.
Basic qualifications
These are the most common baseline expectations before medical screening begins.
21 - 43 years old
One successful pregnancy
In good health
Healthy BMI
Active Lifestyle
What else to expect
Age and pregnancy history
Most clinics look for candidates between 21 and 43 who have had at least one full-term, uncomplicated pregnancy and delivery.
Health and lifestyle
Good overall health, a BMI typically in the 18–33 range, and a smoke- and drug-free lifestyle are common screening expectations.
Support and readiness
A stable living situation and support system help you manage appointments, recovery, and the emotional side of the journey.
Screening comes next
Medical clearance, psychological evaluation, background checks, and legal review usually follow once you begin matching.
For a more comprehensive breakdown of each requirement, see our guide Do I qualify as surrogate?.
Frequently asked questions
Requirements vary by program and location. If you are not a U.S. citizen or legal resident, check the eligibility requirements for the program and state where the surrogacy will take place.
ASRM guidance suggests ideally no more than three prior cesarean deliveries (or five deliveries total), though individual programs and physicians may apply this differently. Your overall pregnancy and delivery history will also be considered during medical screening.
Not necessarily. Some health insurance plans exclude coverage for surrogate pregnancies, so your policy should be reviewed early. If suitable coverage is not available through your plan, other arrangements may need to be considered.
Yes, some women become gestational carriers more than once. Each journey is evaluated based on your current health, previous pregnancy history, and the requirements of the fertility clinic or program.
Yes. While medical screening follows established professional guidelines, legal requirements for surrogacy vary by state. Independent legal counsel should review the laws that apply to your journey.
Yes. You can pursue an independent surrogacy journey and connect directly with intended parents instead of working with an agency. You will still need appropriate medical and psychological screening and independent legal counsel.
Ready to see where you stand?
Take the surrogate checklist for a short readiness check, or create a free profile and browse intended parents when you feel ready.