What is surrogacy?
Surrogacy is the process by which a woman carries a baby for a parent or couple who is unable to carry a child
on their own.
What are the differences between Gestational and Traditional Surrogacy?
The defining factor is whether or not a Surrogate has a genetic link to the child that she is carrying.
Gestational Surrogacy is the process by which a Surrogate becomes pregnant through In-Vitro Fertilization. The
eggs come from either the Intended Mother, or an egg donor. Either the Intended Father or a sperm donor
provide the sperm. The Surrogate receives the fertilized egg through an Embryo Transfer. The Gestational
Surrogate has no genetic link to the baby.
A Traditional Surrogacy occurs when the Surrogate becomes pregnant, through Artificial Insemination, using her
own eggs. Therefore, the Traditional Surrogate has a biological and genetic link to the resulting child.
Why did The Gift of Surrogacy choose not to represent Traditional Surrogates?
At The Gift of Surrogacy, we feel that it is in the best interest of both the Surrogate and the Intended Parents
that the Surrogate not be genetically related to the child. The technological advances in reproductive medicine
have basically rendered the need for non-familial Traditional Surrogacy obsolete. These advances, along with the
number of high quality egg donors and the fact that these donors are both easily accessible and readily
available, make Gestational Surrogacy the obvious choice. This choice protects the Surrogate from any undue
emotional stress, and gives the Intended Parents increased legal standing, as well as increased peace of mind.
Why Idaho?
The Gift of Surrogacy is located in Boise, Idaho--in the heart of the Treasure Valley. Our Surrogates are located
here, as well, and enjoy the Idaho way of life. We think you will agree that this family-oriented, healthy, and
active lifestyle provides Surrogates of the highest quality. Total costs for a surrogacy arrangement in Idaho
average approximately $43,500-$48,500. This total includes the Surrogate Fee, Agency Fee, Clinical Package,
Medical Costs, and Attorney Fees. This total is 30-50% less than you would find in an East or West Coast
market. Our local clinic, The Idaho Center for Reproductive Medicine, is currently ranked number six in the nation,
(or we will happily coordinate with the clinic of your choice) and we have excellent support staff in place covering
every aspect of the surrogate arrangement. The majority of our Intended Parents reside out of state, and we
are familiar with coordinating schedules and accompanying the Intended Parents while they are in town.
Yes, Idaho! Now, why The Gift of Surrogacy?
The Gift of Surrogacy has had more than 40 surrogate births over just the past three years. The Gift of
Surrogacy matches approximately 20 surrogates with Intended Parents each year. We have the highest number
of proven surrogates in the Northwest listed with our agency. Our monthly support groups have an average of
20 surrogates in attendance--this is comparable to a California agency, it exists nowhere else in Idaho. Your
surrogate has the most valuable resource: other surrogates who have gone through a surrogate journey
themselves.
How much are surrogates paid?
Surrogate fees range from $0-$100,000. The national average for first time surrogates is just over $20,000, and
just over $35,000 for proven surrogates. Our First-Time Surrogates receive $20,000 in compensation, one-time
Proven Surrogates receive $30,000, and so on.
Why are proven Surrogates paid so much more than first time Surrogates?
Surrogacy is not for everyone. Some Surrogates will say that it is something they would not choose to do again.
A Proven Surrogate knows exactly what to expect, as does her husband and family; and together they have
decided to begin another journey. For many couples, this invaluable experience is worth the increased price.
Other Intended Parents feel that using a proven Surrogate reduces some of their apprehension, knowing that
the Surrogate has successfully delivered a baby to Intended Parents before.
Will it ever cost anything to be a Surrogate?
There are no out-of-pocket expenses associated with being a Surrogate. The Intended Parents take care of all of
their Surrogate’s expenses, including prescriptions and medical bills. There might be an occasion where a
Surrogate would need to pick up a prescription, but the Intended Parents would then reimburse her for that
amount.
What does Surrogacy cost Intended Parents?
A Surrogate pregnancy can cost the Intended Parents in the range of $25,000 to $50,000--and sometimes more.
Common variables are: the Surrogate fee, a singleton or multiples pregnancy, the clinic package, out-of-pocket
medical expenses, use of an egg or sperm donor, bed rest fees, etc. The number of cycles required to achieve a
viable pregnancy can also increase the cost significantly.
How long do The Gift of Surrogacy Surrogates normally wait to be matched to Intended Parents?
This is one of the most difficult questions an agency is ever required to answer. Obviously, it depends on a
variety of factors. The most important thing is who the surrogate is matched with, not how quickly. We have
had Intended Parents waiting for a Surrogate to finish her paperwork, already knowing that they are interested
in her. We have also had Surrogates who wait for months to find their perfect match.
What advantages does Surrogacy have over Adoption?
Many couples want a child that is "theirs." Surrogacy is often the only way for a couple to have a child that has a
genetic link to one or both of the Intended Parents. Surrogacy also allows the Intended Parents to become
emotionally invested in the pregnancy without the risk that the birth mother will change her mind once the baby
is born. In the case of adoption, the numbers may be against the Intended Parents. There can be as many as
seventy (70) couples vying to adopt a single newborn. Adoption, in general, can be a very emotionally risky
process; Surrogacy gives the Intended Parents increased peace of mind as well as increased legal standing.
Will the Intended Parents have to adopt their own child?
When a Surrogate delivers in Idaho, a court proceeding will take place in order for the names of the Intended
Parents to be placed on the birth certificate. The judge will be given the proper documentation confirming the
Gestational Surrogacy Arrangement, and that the Intended Parents are the genetic and/or legal parents. The
surrogate will terminate her legal rights, and then the Intended Parents will be able to assume theirs. It is a
process that our attorney is very familiar with, and will be able to prepare you for. Our attorney will be able to
answer all of your additional questions in greater detail.
What advantages does an agency give you over a non-agency Surrogacy arrangement?
There are many advantages to having an agency assist you with your arrangement. A quality agency provides
protection and support to all parties involved. We believe the number one advantage of using an agency is that
we can use our experience to make your process as simple, and predictable, as possible. For the Intended
Parents, a reputable agency provides high quality Surrogates who have been screened and, in our case,
educated extensively. For the Surrogate, she will have a support system in place throughout the entire process.
For both parties, all can rest assured that they will receive the mental, emotional, and legal support this process
requires. When all parties have realistic expectations, Surrogacy can be an incredibly rewarding experience.
Choosing not to utilize an Agency puts each party, as well as any resulting child, at greater risk of potential
heartache.
What is the difference between an Agency and a Matching Service?
A lot of matching services claim to be an agency. The truth is, a matching service introduces Intended Parents to
a Surrogate, and that is where their job ends. Many Intended Parents and Surrogates find out, too late, that
what they thought was an agency, is, in fact, a matching service. A quality agency screens and educates its
surrogates, introduces the Intended Parents to a Surrogate specific to their needs, arranges legal counsel for
both the contract and to finalize legal parentage, is involved in all clinical aspects of the surrogacy, and provides
support throughout the entire pregnancy. Intended Parents hire an agency to find a Surrogate, but they also
hire the agency to provide their Surrogate with support that only an organization with experience unique to
surrogacy can offer.
What advantages does The Gift of Surrogacy provide when compared to other agencies?
This is absolutely our favorite question at The Gift of Surrogacy! Please, feel free to ask it again... First, we have
dedicated their lives to the cause of Surrogacy. Second, we discuss each client briefly each day, and in-depth on
a weekly basis. We will always know who you are, where you are at in the process, what needs to be done for
you next, and when it needs to be done. Third, we are small enough to provide you with individualized care, yet
maintain enough support to provide you with answers seamlessly in the event that one of us is unavailable.
Fourth, we are thoroughly educated in every single aspect of Surrogacy. We are 100% confident in our ability to
guide you through this process, and provide you with information that is on the cutting-edge of Assisted
Reproductive Technology. Fifth, we take great pride in choosing the Surrogates we represent. We love the fact
that the majority of our Surrogates enjoy the Idaho way of life. We think you will agree that this family-oriented,
healthy, and active lifestyle provides Surrogates of the highest quality. Finally, and most importantly, we have
made Surrogacy our focus because it feeds our soul. The Gift of Surrogacy is truly a labor of love, and with each
family that we help to grow, we are reminded that we were allowed to participate in their miracle...and that
there is no greater gift than that of a child.
Why do many Potential Surrogates on "Classified Ad" websites request: "No Agencies, Please"?
Surrogacy websites who allow Surrogates to run "Classified Ads" have helped many couples to grow their
families. However, Surrogacy Agencies have flourished as the result of the bad experiences people have
endured when a Surrogate and the Intended Parents have entered into arrangements with conflicting
expectations. Many Surrogates who specify "No Agencies, Please" do so with questionable reasoning. It is very
likely that these Surrogates would not be accepted into a reputable agency's program due to their Medical
History and/or other extenuating circumstances. It makes sense to be wary of anyone who would automatically
dismiss the idea of using an agency.
How will The Gift of Surrogacy improve my Surrogacy experience?
Our first Surrogacy experiences left us feeling intimidated, and often unsettled, or even fearful. But, then came
our second cycle. We felt better, more confident and less anxious. We knew what to expect. That is what we
intend to provide you: second-cycle confidence, the very first time. Our work does not end until all of your
questions have been answered. We measure success the same way you do: a baby. (And, a clear uncontested
birth certificate in your name.)
Is there a “too big” or a “too small” when choosing an agency?
As surrogates, we have experienced first-hand what happens when a one-woman agency has medical problems
and finds herself hospitalized long-term, or simply has difficulty balancing her life and her business. We are not
about to let you suffer like we did; we have used that painful experience to create solutions, which benefit you.
We also know how disconcerting the slick California-based agencies can be. No one wants to pay more to the
agency than to their Surrogate, or to be known as Surrogate #798, or Intended Parent #304 and/or #305. This
agency was created as the result of a negative surrogacy experience. We knew that it could be done better.
We want to provide you with both a wonderful experience, and a meaningful friendship. We truly believe that we
have found a formula that fits us perfectly, and that will suit you perfectly, as well.
What is the ideal number of Surrogates for The Gift of Surrogacy to represent at any given time?
Although we like to have between 20 and 30 Surrogates available on our waiting list, it is our intent to keep the
number of Pregnant Surrogates between 15 and 20. This allows for us to provide them with unequalled care,
and to be attentive to any and all of their needs. The majority of our Surrogates reside here in the Treasure
Valley, this allows us to be very involved in every stage of their pregnancies. Keeping the number of Pregnant
Surrogates low is especially important when the Intended Parents live out of state, and are trusting the agency
to care for their Surrogate in their absence. We are dedicated to keeping the number of our active clients in this
manageable range in order to best serve everyone's needs.
How did Alicia become involved in Surrogacy?
It was a whirlwind. She spoke by phone with a representative from a local agency who promised she would have
three couples interested in her as soon as her paperwork was complete. Before having met personally with
anyone from the agency, one of those couples began initiating negations. Alicia felt confused, bullied, and
overwhelmed by the process. She decided to take her time, do some research, and at least make an attempt at
understanding what she was getting herself into. She later met Intended Parents through that same agency, but
that was where the agency’s assistance ended. Alicia was left to her own devices to educate herself on
surrogacy; the history, the process, support systems that were available/necessary, the legal implications, the
experiences of others, etc. She soon felt that she was better prepared to run the agency than the owner was.
From this rocky introduction into the world of Surrogacy came a determination to provide an agency with a higher
set of standards. Today this agency is known as: The Gift of Surrogacy.
What are the requirements for being a Surrogate?
Potential candidates should be between the ages of 21 and 39 years old, like being pregnant, and desire to help
another family. She should be a non-smoker who maintains a healthy lifestyle, is willing to abstain from alcohol
during pregnancy and limit caffeine intake. She should have a healthy body mass index (height/weight ratio), a
history of full-term healthy pregnancy, physical custody of the resulting child or children, and health insurance.
She must also be financially stable, have a safe home environment, and not be receiving state assistance.
Most agencies are willing to represent Surrogates who do not have medical coverage, why do you only
represent Surrogates who already have their own coverage?
The Gift of Surrogacy is committed to providing Intended Parents with high quality Surrogates. We only represent
Surrogates who have proven that they are stable and responsible. We think it is important for a Surrogate to
have medical coverage if she has the ability to do so. Being a Surrogate is a huge undertaking, but it is not a
career; we feel that a woman who is willing to carry a child for you but does not have coverage to take care of
herself; is probably not the best candidate. In addition, having a Surrogate with medical coverage makes good
financial sense for the Intended Parents.
Does the Surrogate's insurance carrier have the right to deny benefits because it is a Surrogate pregnancy?
When you ask an insurance company if they cover surrogacy, their response will almost always be "No." What
they are referring to is that they will not cover the costs incurred by "hiring" a Surrogate. All insurance
companies are required to cover the costs of a pregnancy regardless of the nature of that pregnancy. As far as
the insurance company is concerned, a Surrogate pregnancy would be the same as if a woman chose to give her
own child up for adoption. Insurance companies are not in the business of custody arrangements, and what
happens after the birth is none of their business.
Do I have to be willing to carry multiples?
A Surrogate does not have to be willing to carry multiples, but one should at least be open to the prospect.
Multiples are a common part of Surrogacy. You will find that many Intended Parents desire to have twins, and
possibly more. A Surrogate also has to have a healthy understanding of the psychological ramifications of fetal
reduction in the event of high-order multiples. While it is possible that you will be matched with Intended Parents
who desire only one Child, it would be unlikely for a Surrogate to object completely to carrying multiples.
When giving birth to the Intended Parent's child, will I be allowed to have an epidural?
Of course it is their baby, but it is your body. You are allowed any hospital approved pain relief you wish to
request during child birth. We have never had an Intended Parent who wanted to have a drug-free birth against
their Surrogate's wishes. This is an issue which is addressed in contract negotiations, but it is important to
remember that even if both parties plan to have a drug-free birth, everyone needs to be flexible the day of the
birth--things can change quickly. Ultimately, it is your decision, and should we encounter an Intended Parent
who requests a drug-free birth, they will only be matched with a like-minded surrogate.
If I don’t get pregnant the first time, does that mean I was not a good candidate to be a Surrogate?
Women who are considered to be naturally fertile make great potential Surrogates, however, this does not
guarantee success in a clinical pregnancy. There are too many extenuating circumstances; egg and embryo
quality, the number of embryos transferred, etc. If the Intended Parents are aggressive in their birth plan, they
can have excellent chances of getting pregnant the very first time. However, if the Intended Parents are
conservative in their approach, the odds can be more likely that a Surrogate will not get pregnant during cycle
one, than that she will. In this case, a second and possible third cycle may be necessary.
Do surrogates commit to a certain number of transfers, or are there additional fees associated if a viable
pregnancy is not achieved in a given amount of time?
Surrogates, in good faith, agree to three consecutive transfers. In an extremely rare case, there might be a
situation where the Intended Parents or a Surrogate chooses to move on before the second or third attempt. If
that should occur, The Gift of Surrogacy would arrange for another surrogate at no additional cost to the
Intended Parents. (Many agencies only guarantee the Intended Parents one transfer, and if the Intended
Parents should require the services of an additional surrogate, an additional agency fee of $3000 to $6500 is
charged.) The Gift of Surrogacy guarantees three consecutive transfers, regardless of the number of surrogates
it takes to achieve those three transfers--without any additional agency fees. However, most surrogates
establish very meaningful relationships with their Intended Parents, and choose to stay involved for as many
transfers as their Intended Parents wish to attempt.
I have heard that Surrogates have to give themselves dozens of injections, is that true?
We have good news and bad news. The bad news: it's true. If you are thinking “but...I hate needles,” don't
worry, once you get over the initial shock, and you will, the injections will seem just a normal part of your daily
routine. The good news: those little shots are going to give you the best possible chance to bring a baby into the
world for its parents. Everyone who has been through the series of injections felt intimidated at first. After just
two days, you will be so proud of yourself; and amazed by how simple, and relatively painless the process is. You
will also have a lot of help. You will attend a “shot class” at the reproductive clinic, (not nearly as fun as it
sounds) where a nurse will help you through the initial injections, and we will always be available to assist you in
anyway possible. And, finally, when you "graduate" from the clinic at nine weeks, you can celebrate the end of
the injections, as well.
I am seriously considering becoming a Surrogate, but a few of the people who are close to me are not
convinced that it is a good idea, have other Surrogates encountered this same type of resistance?
At The Gift of Surrogacy, surrogacy is such a huge and natural part of our lives that we sometimes have to remind
ourselves that to many people, the concept is completely foreign. Many Surrogates encounter resistance from a
friend, parent, or grandparent when initially considering becoming a Surrogate. We generally find that these
concerns are best addressed by educating the potential Surrogate. Being knowledgeable, having a passion for
being a Surrogate, and the ability to speak intelligently on the topic of Surrogacy, are usually your best defense--
should any resistance arise. Ultimately, what is most important is that a Surrogate is making a decision that is
right for her (and her partner, if applicable).
How do Surrogates answer the question: "Will you be able to give up the baby?"
A Surrogate has not begun to enter the world of Surrogacy if she has not been asked this question. We will help
you find your voice. You will find that many people have strong feelings about Surrogacy, and Surrogates, in
particular, no matter how uneducated on the subject they might be. It is so hard for an outsider to understand.
Thankfully, our Surrogates have friends on the inside. First of all, it's not the Surrogate's baby. Second, it's not
just about the Surrogate, it's about her helping someone else to have their baby. Third, our Surrogates have
done their research. Our Surrogates are educated extensively and confident in their decision to carry a baby for
someone else. And, finally, a Surrogate knows the lengths she would be willing to go to if she had been unable
to have children. Now, she is giving back by allowing another mother/couple to have what the surrogate already
holds so dear: a family. If the person asking the question had ever experienced fertility problems, they would
surely find the question less poignant. And, how lucky the questioner is to know such a kind, empathetic,
unselfish person should they ever need a Surrogate.
Does The Gift of Surrogacy represent egg donors?
We do not. The local fertility clinic we work with (ICRM) has high quality egg donors available for every cycle, and
also accepts new egg donor applicants. And, we have worked with Tiffany at NationWideEggDonation.com
successfully on several occasions. Additionally, being an egg donor is a very different process from being a
Surrogate. Surrogates commit approximately one-year of their lives to the process, establish relationships with
the Intended Parents, and are very emotionally invested. For those reasons, a Surrogate requires a lot of
support, the kind of support provided by an agency. For the most part, non-familial egg donors are anonymous,
and the entire process takes about five weeks. These types of egg donors are less likely to require the services
of a full-service agency.
Has The Gift of Surrogacy ever had a Surrogate want to keep the baby?
No. Our agency exists to ensure that this does not happen. In reality, a Surrogate changing her mind happens
less than one-percent of the time. In fact, it is three times more likely that the Intended Parents would change
their minds, than would the Surrogate. Still, we take no chances. Our screening process is extensive, and is
designed to ensure that our Surrogates are both well-educated and emotionally prepared for this process. In
addition, we do not represent “Traditional” Surrogates, who have both a biological and genetic link to the child
they are carrying and might be more prone to having second thoughts (and who would also have the legal
standing to do so). The contract also addresses this issue in detail, and our primary focus is that our Surrogates
are counseled extensively to prepare them, throughout the entire pregnancy, for the birth day--and what to
expect.
Will the Surrogate feel the same bond for the baby as she felt for her own child?
Being a Surrogate is a very different experience from carrying your own child. Your feelings are determined
largely by your expectations. When you are carrying your own child, you are preparing to welcome your baby into
your family and into your home. You prepare the nursery, purchase baby clothes, pick out a name, and anticipate
bringing your baby home and raising him/her. When you are a Surrogate, your expectations are that at the birth
the Intended Parents will take their child home, and that your part of the process will be complete. As a
Surrogate, you are aware that you are not the mother, but the belly--a very beautiful, giving, unselfish little belly.
And, should a surrogate find that, after the birth, there is a moment where she feels a sense of loss--she has the
agency and 20 other surrogates to help her see the beauty of it all and keep it in perspective.
(Hormones! UGH!)
How do I become a Surrogate with The Gift of Surrogacy?
First of all, do your research. Check out our entire website. Then contact us to request the Potential Surrogate
Initial Questionnaire. We can then arrange a meeting so that we can get to know each other and begin the
process of compiling your portfolio. We look forward to beginning your journey together!
Frequently Asked Questions