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I’m Worried About Bonding with My Baby after Surrogacy

Worried about bonding? Discover how intentional routines and caregiving build a deep, secure connection with your baby after surrogacy.

The bond you share with your baby isn’t a single “spark” that happens in the delivery room; it is built through the thousands of small, quiet moments of caregiving that happen every single day.

By leaning into intentional connection from the very first second, you can bond with your baby after surrogacy and build a deep, secure attachment that lasts a lifetime.

This blog dives into what bonding with your baby after surrogacy actually looks like, how to handle the nerves, and the practical steps you can take both before and after birth to feel fully connected to your little one.]

What Does Bonding with your Baby After Surrogacy Look Like?

Bonding with your baby after surrogacy isn’t a “one-size-fits-all” experience. For some parents, it feels like an instant rush of emotion the moment they see the ultrasound; for others, the connection clicks during the first late-night bottle feeding at home.

Both experiences are completely normal and equally meaningful. To prepare for this journey, it helps to break bonding down into a series of intentional steps.

Start by visualizing your role as the primary caregiver. While the surrogate provides the physical environment for growth, you are the one providing the emotional environment for life.

Bonding looks like “showing up”—being present for the milestones and the mundane moments alike. Whether you choose to prioritize skin-to-skin contact or focus on the rhythm of daily feeding, your unique path to bonding with your baby after birth is valid.

Why You Might Feel Nervous About Bonding—and Why That’s Okay

It is incredibly common to feel a sense of “bonding anxiety” during the surrogacy process. You might find yourself wondering:

Will the baby know I’m their parent?
Did I miss out on something vital by not carrying the pregnancy?

If these thoughts are keeping you up at night, please know that you are in good company.

If you look at community discussions on Reddit, you’ll see that intended parents all over the world struggle with these exact same fears. This nervousness doesn’t mean you won’t be a great parent; it actually shows how much you already care about your child’s emotional well-being.

The fear of disconnection is often just a byproduct of the unique surrogacy path, but it doesn’t define your future relationship.

You are not alone in this boat, and acknowledging these feelings is the first step toward moving past them.

How to Encourage Bonding with Your Baby Right After Birth

The moments immediately following delivery are a golden opportunity to begin your life as a family. While your surrogate is recovering, you can step into your role as the primary source of comfort for your newborn.

Skin to Skin Surrogacy: Also known as Kangaroo Care, this involves holding your baby against your bare chest. It regulates the baby’s heart rate and releases oxytocin, the “love hormone,” in both of you.
Presence at Delivery: Being in the room (if everyone is comfortable) allows you to be the first voice the baby hears in the outside world.
Immediate Caregiving: Take the lead on the first diaper change, the first bath, and the first feeding. These acts of service tell the baby’s nervous system that you are their protector.
Eye Contact: Simply gazing into your baby’s eyes during quiet moments helps build the neural pathways associated with attachment to child after surrogacy.

Bonding Before Birth: Why Your Connection Starts Sooner Than You Think

You don’t have to wait until the hospital to start your connection. Even though you aren’t carrying the pregnancy, you can still be an active participant in your baby’s development.

Research on attachment and bonding during pregnancy shows that babies begin to recognize sounds and rhythms while still in the womb. You can bond before birth by:

Talking or Singing to the Bump: Record your voice for the surrogate to play, or speak to the baby during visits.
Attending Appointments: Being present for ultrasounds and check-ups helps you visualize the baby as a real, growing person.
Nursery Preparation: Creating a physical space for the baby in your home helps “nest” emotionally, making the transition feel more concrete.

What If Bonding With My Baby after Surrogacy Takes Time?

One of the biggest misconceptions about parenthood is that bonding is always “love at first sight”. In reality, bonding isn’t linear.

If you don’t feel an immediate, overwhelming surge of emotion, it doesn’t mean you’ve failed.

Many parents find that their connection grows slowly through the daily “grind” of caregiving. Be patient with yourself. You are learning a new person, and they are learning you.

Focus on the emotional transfer—the process of taking over the surrogate’s role as the baby’s safe harbor. Love is often an action before it is a feeling.

Keep showing up, keep responding to their needs, and the chemistry will follow.

Creating Intimacy in the First Weeks at Home

The first few weeks at home are a “babymoon” period designed for nesting and connection. This is the time to establish the routines that define your family.

Focus on building intimacy through high-touch caregiving. Babywearing is a fantastic tool; it keeps the baby close to your heartbeat and scent while you go about your day.

Additionally, responding quickly to cries and “cooing” back at your baby creates a secure attachment. These small, repetitive interactions are the building blocks of trust.

If you are wondering how does surrogacy affect the child, the answer lies in these early weeks—a baby who is responded to with love will thrive, regardless of how they were born.

Breastfeeding After Surrogacy: What Are My Options?

You can breastfeed if you use a surrogate, but it’s a personal choice and it looks different for every family. Some parents feel that the physical act of nursing is the ultimate shortcut to bonding, while others find peace in bottle-feeding. Both are completely valid.

For intended parents who want that physical nursing experience, breastfeeding after surrogacy is possible through:

Induced Lactation: With the help of a medical professional, you can use a combination of hormones and pumping (starting months before birth) to produce a milk supply.
Supplemental Nursing Systems (SNS): This is a great “middle ground.” It’s a small tube attached to the nipple that provides formula or donor milk while the baby latches. This gives you the skin-to-skin closeness of nursing even if you aren’t producing milk.

If you choose to bottle-feed, you can still make it a bonding experience.

Hold the baby close to your skin, maintain eye contact, and—this is a pro tip—limit feeding duties to just the primary parents for the first few weeks. This helps the baby learn exactly who their “person” is.

How Surrogacy Agencies Support the Post-Birth Transition

At American Surrogacy, we don’t just hand you a baby and wish you luck. We believe that a successful journey includes a smooth emotional transition.

We work with you and your surrogate to create a “hospital plan” that puts you in the driver’s seat from the moment of birth.

We facilitate the “tough” conversations early:

Who holds the baby first?
How will skin-to-skin be handled in the delivery room?
How do we handle the emotional transfer of the baby?

Having a reputable agency and specialist guide these logistics means you don’t have to navigate the hospital bureaucracy alone. You can stop worrying about the “how” and focus entirely on the “who”—the little one you’ve waited so long to meet.

Can You Be a Surrogate After 3 C-Sections?

Learn why three C-sections is the medical limit for surrogates. We explore ASRM safety standards and how you can still help build families.

You generally cannot become a surrogate after three C-sections because most fertility clinics and the ASRM set three as the maximum safety limit.

By respecting these medical boundaries, you protect your long-term health and ensure that every surrogacy journey begins with the highest standards of clinical safety.

If you want to know if you qualify based on your unique medical history, you can fill out our online form to get in contact with a surrogacy specialist today.

Can You Be a Surrogate After 3 C-Sections?

No, you generally cannot become a surrogate if you have already had three C-sections.

Most surrogacy agencies and fertility clinics strictly adhere to the American Society for Reproductive Medicine (ASRM) guidelines, which recommend a maximum of three cesarean deliveries for any surrogate candidate.

These evidence-based recommendations are designed to protect your long-term well-being and ensure the best possible outcome for the baby. When evaluating a candidate’s surgical history, fertility specialists focus on:

Uterine Integrity: Assessing the strength of the uterine wall. Each subsequent C-section can thin the myometrium (the muscle layer of the uterus), increasing the risk of complications in a future pregnancy.
Scar Tissue (Adhesions): Evaluating the buildup of scar tissue from three previous major abdominal surgeries, which can make a fourth surgery significantly more complex.
Incision Type: Reviewing past operative reports to confirm that previous incisions were “low-transverse.” Other types of incisions may further limit eligibility.
Previous Recovery: Confirming that the three prior C-sections were not accompanied by serious conditions like placenta accreta or uterine rupture.

While having a history of three healthy C-sections is a testament to your body’s resilience, the medical community views a fourth C-section as an unnecessary risk to your health.

Why Surrogacy Agencies Limit the Number of C-Sections

Surrogacy agencies limit the number of C-sections to three because each subsequent surgery increases the risk of life-threatening complications, such as uterine rupture and placenta accreta.

Every time a C-section is performed, the muscle of the uterus (the myometrium) is replaced by fibrous scar tissue at the incision site.

This tissue is less flexible and resilient than healthy muscle, leading to several primary medical concerns:

Uterine Rupture: This is a medical emergency where the scar from a previous surgery tears during pregnancy or labor. Because surrogacy often involves IVF and potentially higher birth weights, the strain on a thrice-scarred uterus creates a high risk for this life-threatening event.
Placenta Accreta Spectrum: This is a serious condition where the placenta grows too deeply into the uterine wall, often anchoring itself into previous C-section scars. This can lead to severe hemorrhaging during delivery and frequently results in a necessary hysterectomy.
Placenta Previa: With each additional C-section, there is an increased likelihood that the placenta will attach to the lower part of the uterus, covering the cervix. This can cause severe bleeding throughout the third trimester and requires a high-risk delivery.
Surgical Adhesions: Repeat abdominal surgeries cause bands of scar tissue (adhesions) to form. These can cause internal organs, like the bladder or bowels, to “stick” to the uterus. This makes a fourth surgery significantly more complex and increases the risk of accidental organ injury.

By adhering to these limits, agencies and fertility clinics prioritize your long-term health. Respecting these medical boundaries is the best way to honor the incredible gift you are offering to hopeful parents.

What Are the Alternatives if Surrogacy Isn’t Possible After 3 C-Sections?

If you cannot become a surrogate due to having three or more C-sections, you can still make a profound impact on the surrogacy community by becoming an advocate, joining a referral program, or providing peer support.

If carrying a pregnancy isn’t the safest path for your health, consider these meaningful ways to stay involved:

Participate in a Surrogate Referral Program: At our agency, we offer a surrogate referral program that allows you to play a direct role in creating a new family.
Become a Surrogate Advocate: Use your personal birth experiences and your passion for surrogacy to educate others.
Join Emotional Support Networks: Experienced mothers possess unique insights into the emotional nuances of pregnancy and recovery.
Community Education: Share your story to help destigmatize surrogacy. Whether through social media, blogging, or local community groups, your voice helps humanize the process for those just beginning their research.

Your contribution to the surrogacy community isn’t defined solely by a pregnancy. Whether you are the one carrying the baby or the one empowering another woman to do so, you are a vital part of the mission to bring families together.

Can Exceptions Ever Be Made for Surrogates With 3+ C-Sections?

No, exceptions for women with more than three C-sections are extremely rare, as fertility clinics and insurance providers strictly follow ASRM safety parameters.

These rigorous standards are in place because a surrogate pregnancy involves specific legal and financial risks that a standard pregnancy does not.

Similarly, many insurance policies that cover surrogate pregnancies have strict eligibility requirements. If a surrogate has a history that falls outside of “standard” safety limits, the provider may refuse coverage, leaving both the surrogate and the intended parents vulnerable.

If your medical history, specifically the number of previous C-sections, makes a journey unsafe according to clinical standards, we will be honest with you about those boundaries.

Our priority is ensuring that every woman who works with us remains healthy for her own children and her own future.

Other Requirements You Must Meet to Become a Surrogate

To protect your health and the future of the intended parents’ baby, you must meet specific medical and lifestyle requirements, including having no more than three previous C-sections.

While every journey is unique, our agency and fertility clinics follow these core requirements:

You must have a history of at least one successful, uncomplicated pregnancy and be currently raising a child.
You can have no more than three previous cesarean births and five vaginal births.
Be between the ages of 21–40 and
A healthy BMI of 19–32.
No smoking or illicit drug use.
At least six months must have passed since your last vaginal or cesarean birth before starting a new journey.
You must have no major complications from previous pregnancies
Must be off anti-depressants or anti-anxiety medications by the time you begin medication for the medical process.
All candidates must pass a background check with no felony convictions.

These criteria are designed to ensure that you are in the best possible position to help a family grow while remaining safe and healthy for your own family.

If you want to talk to someone about your medical history and see if you qualify to become a surrogate, you can fill out our online form to connect with a specialist today.

Not Eligible to Be a Surrogate? Here’s How You Can Still Help

If you are not eligible to be a surrogate due to your C-section history, you can still play a vital role in our community as a dedicated advocate.

Your experience as a mother and your passion for helping others are powerful tools.

By connecting with our team, you can determine the best path forward for your unique situation, honoring your own health while still helping others fulfill their dreams of parenthood.

If you’d like to participate in our referral program for a potential bonus, learn more today.

Apply to Be a Surrogate in 2026: Requirements, Compensation and What to Expect

See how American Surrogacy supports you through requirements, screening, and matching in 2026.

Deciding to apply to be a surrogate mother in 2026 is a life-changing way to help a waiting family while providing your own children with a brighter financial future.

By working with an experienced surrogacy agency, you can enjoy a safe, supported pregnancy where every legal and financial detail is handled for you by experts.

How to Apply to be a Surrogate in 2026

If you’ve been considering becoming a surrogate, taking the first step can feel overwhelming. In 2026, the application process is designed to be straightforward, transparent, and supportive from the very beginning.

You’re not just submitting a form, you’re exploring the possibility of helping create a family. That matters.

When you’re ready to learn how to become a surrogate, the process typically follows three clear steps:

Choose a Dedicated Surrogacy Agency: Working with a specialized agency like American Surrogacy ensures you have experienced professionals advocating for you, so you can focus on your health and your family.
Review the Basic Qualifications: Start with a quick review of the age, health, and pregnancy history requirements to determine whether you meet the foundational criteria for becoming a gestational surrogate.
Complete an Initial Application: This step allows us to learn about your medical history, lifestyle, and motivations, and gives you the opportunity to ask questions and receive personalized guidance.

Your choice to become a surrogate may be one of the most meaningful things you will ever do. Take the first step toward earning top surrogate compensation and changing lives today. Apply to be a surrogate today.

Who Can Become a Surrogate Mother?

You might wonder why surrogacy requirements are so specific. These standards aren’t designed to exclude people, they exist to protect you, the intended parents, and the baby throughout the entire journey.

Every requirement is grounded in medical guidance and risk-reduction best practices. The goal is simple: to give you the strongest possible foundation for a healthy, low-risk pregnancy. At American Surrogacy, the requirements for surrogacy in 2026 include:

Age 21–40: Candidates must be between 21 and 40 years old.
Healthy BMI: A body mass index (BMI) between 19 and 32.
Non-Smoking and Drug-Free: No tobacco use or illicit drug use.
Proven Pregnancy History: At least one successful pregnancy and delivery, with no major complications. You must also be currently raising a child of your own.
Birth Limits: No more than three prior cesarean births or five prior vaginal births.
Postpartum Recovery Time: At least six months must have passed since your last vaginal or cesarean delivery.
Stable Lifestyle: A stable home environment and no felony convictions.
Ability to Travel: Flexibility to travel as needed for medical screenings, embryo transfer, and other surrogacy-related appointments.

These qualifications help ensure that surrogacy is a safe, positive experience for everyone involved, especially you.

What is the Surrogate Screening Process Like?

Once your initial application is approved, you’ll move into the screening phase. This step is designed to ensure you are fully prepared for the surrogacy journey.

Our priority is that you enter a match feeling informed, supported, and confident. If you meet the basic requirements, the screening process includes several important steps:

Detailed Social and Medical History Forms: You’ll complete comprehensive background forms covering your medical history, pregnancy experiences, and overall lifestyle.
Medical Records Review: You’ll submit a recommendation from your OB-GYN confirming you are a good candidate for pregnancy. With your permission, we will also request and review your medical records directly from your doctor to verify prior pregnancy outcomes and confirm there were no major complications.
Home Visit: A specialist will conduct a home visit to meet you and, if applicable, your family. This visit ensures you have a stable and supportive home environment and gives you the opportunity to ask questions about the journey ahead.
Psychological Evaluation: You’ll complete a psychological evaluation with a licensed mental health professional to confirm you feel prepared to carry a pregnancy for another family.

Each step is designed to protect your well-being and ensure that, if you move forward, you do so with clarity and confidence.

What to Expect Once You’re Accepted

Once you’re fully approved, you’ll enter the matching phase, the step where you’re connected with intended parents who are hoping to grow their family.

At American Surrogacy, matching is mutual. You are never assigned to a family. Both you and the intended parents must feel confident about moving forward.

Here’s how the matching process works:

Waiting to Be Matched: After approval, you’ll become eligible for matching. Intended parents will have access to your profile and may express interest in moving forward with you.
Clinic Record Review: If intended parents would like to match, we send your medical records to their fertility clinic for review. The clinic must approve you medically before a match can move forward.
Getting to Know Each Other: If the clinic approves and you’re interested in the intended parents, we’ll schedule a Zoom call. This conversation allows both sides to ask questions, discuss expectations, and determine whether there’s a genuine connection.
Medical Evaluation at the Fertility Clinic: If everyone agrees to proceed, you’ll attend an in-person medical evaluation at the intended parents’ fertility clinic. This final physical screening confirms you’re ready for the embryo transfer process.

Each step is structured to ensure alignment, medically, emotionally, and logistically, before moving into the next phase of the journey.

Surrogate Compensation and Benefits in 2026

Helping someone become a parent is a massive commitment of your time and energy. You deserve to be well-compensated so you can focus on your health and your own family’s needs.

In 2026, our surrogate compensation package is built to be “all-inclusive,” meaning you should never have to pay out of pocket to be a surrogate.

Your compensation is generally divided into two parts:

Base Pay: This is your primary payment for your service. In 2026, first-time surrogates typically earn between $50,000 and $65,000. If you have been a surrogate before, you can often earn significantly more.
Monthly Allowances: These cover your everyday needs during the pregnancy. This includes a stipend for healthy groceries and wellness, maternity clothes, travel for appointments, and even coverage for lost wages or childcare if you need it.

Payments are spread out over the course of the pregnancy, usually starting as soon as a heartbeat is confirmed via ultrasound.

Fill out our simple form today to learn how much you could earn as a surrogate in 2026.

Legal Protections for Surrogates

The legal side of surrogacy can feel complicated, but it’s actually your greatest safety net. Every surrogate we work with signs a gestational carrier agreement(GCA) before any medical steps are taken.

This guide to GCAs explains how the contract protects you. It clearly defines the intended parents’ financial responsibilities and protects your right to make medical decisions during the pregnancy.

To make sure your voice is heard, you will have your own independent lawyer. The intended parents pay for this attorney, and we can help you find one in your state who specializes in surrogacy law.

Is Becoming a Surrogate Right for You?

Being a surrogate requires physical stamina, schedule flexibility, and emotional resilience. It is a serious commitment, but for many women, it is also one of the most meaningful experiences of their lives.

As you evaluate the pros and cons of surrogacy, take an honest look at your current circumstances and support system.

Do you have a supportive partner, family member, or friends who can step in when you need rest or help with daily responsibilities?
Do you feel emotionally prepared to carry a pregnancy for another family and maintain healthy boundaries throughout the journey?
Are you genuinely excited about helping someone experience parenthood?

Financial compensation can also play a practical role in your decision. Many surrogates use their earnings to purchase a home, pay off debt, build savings, or invest in their children’s future.

For women who feel called to help another family, the combination of purpose and financial opportunity can make surrogacy a deeply rewarding choice.

Ready to Become a Surrogate in 2026? Here’s How to Get Started Today

Imagine the day you get to see a family hold their baby for the first time because of you. That future is closer than you think, and our team is here to help you get there with zero pressure.

If you’re ready to learn more about how to apply to be a surrogate in 2026, reach out to us today and let’s talk about your “what-ifs.”

Can You Be a Surrogate after 2 C-Sections?

Had 2 C-sections? You can still be a surrogate. We break down the ASRM guidelines, medical risks, and how to qualify for a safe journey.

You can be a surrogate after 2 C-sections as long as your previous pregnancies were healthy and you meet specific medical criteria.

By understanding how your surgical history impacts your eligibility, you can move forward with the confidence that you are protecting both your health and the dreams of intended parents.

If you’re wondering how your specific birth history affects your eligibility, you can reach out to a surrogacy specialist today to get free information tailored to your situation.

Can You Be a Surrogate After 2 C-Sections?

Yes, many women are eligible to become a surrogate after having two prior C-sections.

While every fertility clinic and surrogacy agency has its own medical guidelines, having two cesarean deliveries does not automatically disqualify you from the process. In fact, many women with previous C-sections go on to have healthy, successful surrogate pregnancies.

At American Surrogacy, your safety and the baby’s well-being are always the top priority. We follow medical guidelines established by the American Society for Reproductive Medicine (ASRM) to help ensure every surrogate pregnancy is as safe and healthy as possible.

Find out if you qualify to be a surrogate.

How Medical Screening Evaluates Prior C-Sections

What matters most is how well your body healed after surgery and the overall health and strength of your uterus. That’s why all potential surrogates complete a comprehensive medical screening, allowing fertility specialists to determine whether a future pregnancy can be carried safely.

Our medical screening consists of these essential steps:

Step 1: Initial Medical Record Review: Our agency staff reviews your complete obstetric records to check for complications or red flags.
Step 2: Clinic Review: Once a potential match with intended parents is identified, their fertility clinic will conduct a secondary, more intensive review of your records.
Step 3: Physical Screening: You will travel to the intended parents’ clinic for a physical exam, which often includes a saline infusion sonogram (SIS) or hysteroscopy to check the thickness and quality of your uterine scar.
Step 4: Professional Clearance: A reproductive endocrinologist must give the final “green light” before any medical procedures begin.

How Long after a C-Section Can I Be a Surrogate?

Most fertility clinics and surrogacy agencies follow the safest timelines to try surrogacy after a cesarean, which typically requires you to wait at least 6 to 12 months after your last C-section before you can begin a new surrogacy journey.

If you are currently breastfeeding, you may also need to wait until you have finished weaning and your muscular cycle has returned to a regular rhythm. Giving your body the time it needs to recover ensures you are physically prepared for the journey ahead. A healthy body leads to a healthy pregnancy, and keeps you, and the baby safe.

Understanding Potential Risks of Being a Surrogate After 2 C-Sections

While many women have successful third or even fourth pregnancies after multiple C-sections, it is important to have a transparent look at the medical risks. Each subsequent surgery can lead to increased scar tissue, which may impact future deliveries.

Key risks include:

Placenta Accreta: This occurs when the placenta grows too deeply into the uterine wall, often at the site of previous C-section scars, which can lead to severe bleeding during delivery.
Uterine Rupture: The risk of the uterine scar opening during pregnancy or labor increases with each subsequent surgery.
Adhesions (Scar Tissue): Multiple surgeries can cause internal scar tissue that makes future procedures more complex and increases the risk of injury to nearby organs.
Placenta Previa: A history of multiple C-sections can increase the likelihood of the placenta covering the cervix, requiring another surgical delivery.

Medical professionals monitor surrogate pregnancies very closely due to the potential risks of multiple prior C-sections. Choosing an agency with experience in managing these variables is the best way to ensure you have the support you need.

How Many C-Sections Can a Surrogate Have?

The ASRM provides medical guidance that most surrogacy agencies and fertility clinics follow when determining eligibility. In general, ASRM guidelines recommend a maximum of three total C-sections over a woman’s lifetime.

This total includes all prior cesarean deliveries, both from your own pregnancies and any previous surrogacy journeys. If you’ve already had two prior C-sections, your surrogacy birth may be planned as a C-section.

In cases involving multiple cesarean deliveries, scheduling the birth can help reduce the risk of uterine rupture and allows the medical team to closely manage the delivery in the safest possible environment for both you and the baby.

In this case, that would mean you would no longer qualify for future surrogacy journeys.

Can You Have a Vaginal Birth after 2 C-Sections?

While vaginal birth after two C-sections (often called VBA2C) may be possible in some personal pregnancies, surrogacy agencies and fertility clinics almost always require a planned repeat C-section instead.

A planned C-section allows the medical team to avoid the stress of labor on a previously scarred uterus and maintain greater control over the delivery environment.

By choosing a planned repeat C-section, the focus remains on protecting your health while ensuring the best possible outcome for the family you’re helping to build.

Next Steps if You Have Had Two C-Sections

If you’ve had two healthy C-sections and feel called to help another family grow, you may still be an excellent candidate for surrogacy.

If you’re ready to begin or simply exploring your options, our team is here to provide clear, honest answers about your eligibility and next steps.

Fill out our form today to see if surrogacy after two C-sections could be right for you.

When Your Fertility Doctor Recommends a New Surrogate: What It Means and What to Do Next

Why a doctor may recommend switching surrogates and how American Surrogacy’s screening process helps protect intended parents.

When a fertility doctor recommends switching surrogates, it can feel like your path to parenthood just took a major detour, but it is actually a strategic move to give your remaining embryos the best chance at a successful pregnancy.

By following professional medical advice, you are prioritizing the health of your future child and optimizing the clinical environment for your next transfer.

If you’re tired of the uncertainty of an independent journey or a less-qualified match from another agency, let us help you match with one of our many thoroughly screened surrogates. Connect with a surrogacy specialist about your rematch.

Our Doctor is Recommending Switching Surrogates – We’re Not Sure What to Do

Hearing your doctor recommend a change after multiple failed embryo transfers with a surrogate can be overwhelming. Many intended parents are surprised by this suggestion, especially when the surrogate has previously carried a successful pregnancy.

In most cases, this recommendation comes only after a clear pattern appears in the clinical data following several unsuccessful transfers. Doctors base these decisions on measurable outcomes, not assumptions, when determining whether a different approach may improve success.

When evaluating next steps, clinicians often look at a few key indicators:

Uterine receptivity: Even with a history of successful pregnancy, a surrogate’s uterus may not be receptive to the specific embryos being transferred in this journey.
Hormonal response: Clinical findings may show that the surrogate’s uterine lining is not responding optimally to the medication protocol required for your transfer cycle.

Is the Problem the Embryo or the Surrogate?

One of the hardest parts of this process is the uncertainty. You might find yourself wondering if failed transfers with your surrogate are related to the embryo you’ve worked so hard to create or the surrogate you’ve matched with.

Fortunately, specialists have several tools to help narrow this down.

To assess the embryos, embryologists use IVF embryo grading to determine which ones have the best chance of leading to a healthy pregnancy. They also look at:

Chromosomal Testing (PGT): Ensuring the embryos are genetically “normal”.
Thaw Quality: How well the embryo survived the transition from the lab to the transfer.

If the embryos are high-quality and PGT-tested, yet transfers continue to fail, the medical team’s attention naturally shifts to the gestational carrier.

It’s important to remember that this isn’t about “blaming” the surrogate. It is simply about finding the right biological match to optimize your success.

If you are questioning the viability of your remaining embryos or want to understand the lab’s role in your success, explore our guide to embryo grading.

What Happens if My Surrogate Can’t Get Pregnant?

What happens if your surrogate can’t get pregnant is primarily determined by your surrogacy contract. This document is the “manual” for your journey and typically specifies:

The Number of Attempts: Most contracts agree to three embryo transfers with a specific surrogate before reassessing.
The “Switch” Trigger: If your surrogate doesn’t conceive after the agreed-upon attempts, the contract outlines the process for ending that specific match so you can move forward.
Financial Responsibilities: It clarifies which fees carry over and what new costs (like a new screening) may be required

Reputable agencies like ours use these pre-set protocols to ensure you aren’t draining your emotional and financial resources on a cycle that isn’t working.

By having a clear plan for “failed” transfers, we replace fear with a predictable path toward parenthood.

How Rigorous Surrogate Screening Prevents Repeat Heartache

If you’re coming from an independent journey or another agency and facing the difficult decision of whether to rematch or take a break, one thing matters more than ever: the quality of surrogate screening.

At American Surrogacy, our intensive pre-screening and vetting process is designed to reduce avoidable setbacks by identifying potential surrogate-related risks before you move forward.

We don’t rely on surface-level qualifications alone. Instead, our screening process includes multiple layers of review to ensure every surrogate is truly prepared for your specific transfer:

Comprehensive medical review: We evaluate complete medical and pregnancy records as soon as a surrogate applies.
Clinic-specific approval: After matching, her full file is sent to your fertility clinic for review and approval based on their protocols.
In-person physical evaluation: Finally, your clinic conducts its own physical evaluation and testing before giving the official green light.

This thorough approach is built to give you greater confidence and fewer surprises as you move forward.

Why Do We Have to Create More Embryos Before We Can Be Matched with a New Surrogate?

If you’ve used your last remaining embryo, you will need to create more embryos or exploring donor embryos before beginning a new match. While this can feel like an unexpected delay, it’s often a strategic step that saves time, and emotional strain, later in the process.

Once a surrogate match is made, surrogacy logistics tend to move quickly. Medical clearances, legal steps, and cycle preparation can progress faster than many intended parents expect.

If you wait until after matching to begin a new IVF cycle, you may end up in a frustrating holding pattern: your surrogate is fully cleared and ready, but there are no embryos available for transfer. This pause can add weeks or even months to your journey.

Having embryos “in the bank” helps ensure that when your surrogate is medically ready, you can move forward without unnecessary delays, keeping momentum on your side when timing matters most.

With the Right Agency, Switching Surrogates Doesn’t Mean Beginning Again

The biggest fear many intended parents have is that switching surrogates means starting over and losing everything they’ve already invested. At American Surrogacy, that isn’t the case.

We offer a program specifically designed to protect you from the financial and emotional impact of a failed match. Through our Limited Risk Program, your initial investment is protected and you gain access to:

Unlimited match attempts without paying the agency matching fee again
Fast rematching, with new matches typically available in as little as 1 - 4 months

A medical detour doesn’t have to derail your journey. Our Limited Risk Program is built to protect both your budget and your peace of mind, so you can move forward with confidence.

Connect with a surrogacy specialist to get the expert guidance you need to find the right surrogate for your remaining embryos.

Can I Be a Surrogate if I Had a C-Section?

Becoming a surrogate after a C-section is possible with healthy past pregnancies. Learn about medical limits, recovery, and compensation.

You can become a surrogate after having a C-section as long as your previous pregnancies were healthy and you meet specific medical criteria.

Understanding how your surgical history impacts your eligibility allows you to move forward with confidence toward a life-changing journey that helps a family grow.

Wondering if you qualify to become a surrogate? Fill out our form today and see how you can make a life-changing impact.

Can You Be a Surrogate after a C-Section?

Yes, you can be a surrogate after a C-section. In fact, many successful surrogates have delivered via C-section previously.

The primary factor medical professionals and agencies like American Surrogacy look for is a history of uncomplicated pregnancies.

During your initial screening, a surrogacy specialist will review your medical records to ensure your uterus is healthy and capable of carrying another pregnancy safely.

How Long after a C-Section Can I Be a Surrogate?

The general recommendation is to wait at least six to 12 months after your last C-section before beginning a surrogacy pregnancy.

This waiting period allows your body to fully recover from the surgery and ensures the uterine scar is strong enough to support a new pregnancy.

Medical professionals prioritize your safety above all else. Attempting to get pregnant too soon after a C-section can increase the risk of complications, such as uterine rupture or placental issues.

We often suggest starting the application and initial consultation process even if you are still within that recovery window. This ensures you are ready to hit the ground running once you reach the six-to-12-month mark.

A surrogacy specialist can help you prepare for your next journey while you recover.

How Many C-Sections Can a Surrogate Have?

According to guidelines from the American Society for Reproductive Medicine (ASRM), most surrogacy professionals set a cap of three total C-sections. This number includes all of your previous deliveries, both for your own children and any prior surrogacy journeys.

The reason for this limit is purely medical. Each subsequent C-section involves cutting through previous scar tissue, which can slightly increase the risk of complications like placenta accreta or weakened uterine walls.

Agencies and fertility clinics generally stick to the “no more than three” rule to ensure the highest level of safety for you.

You may still be eligible if you have had exactly three C-sections and are interested in surrogacy, but your medical records will undergo a very thorough review.

Most clinics will advise against surrogacy to prioritize your long-term health and well-being if you have had four or more.

The Medical Risks of Multiple C-Sections

While many women have several successful C-sections, the cumulative effect of repeat abdominal surgeries introduces specific medical considerations.

Understanding these risks helps you and your medical team makes the safest choice for a potential surrogacy journey. Key risks include:

Placenta Accreta: This occurs when the placenta grows too deeply into he uterine wall, often at the site of previous C-section scars, which can lead to severe bleeding during delivery.
Uterine Rupture: The risk of the uterine scar opening during pregnancy or labor increases with each subsequent surgery.
Adhesions (Scar Tissue): Multiple surgeries can cause internal scar tissue that makes future procedures more complex and increases the risk of injury to nearby organs.
Placenta Previa: A history of multiple C-sections can increase the likelihood of the placenta covering the cervix, requiring another surgical delivery.

Does a C-section Affect My Surrogate Compensation?

A previous C-section will not affect your compensation. However, if your doctor recommends a C-section for your surrogate birth, having a C-section does make you eligible for additional compensation.

Because a C-section is a major abdominal surgery that requires a longer recovery period and carries higher physical demands, surrogacy contracts almost always include an additional C-section payment.

Why C-Section History Matters in Surrogacy Screenings

Your C-section history is an essential part of the medical screening when you apply to be a surrogate.

It provides a roadmap of your reproductive health. Fertility specialists look at these records to understand the “why” behind the surgery.

There is a significant difference between a planned C-section due to a breech baby and an emergency C-section caused by severe preeclampsia or placental abruption. The medical team will check for:

The Type of Incision: Most modern C-sections use a “low transverse” incision, which is the safest for future pregnancies.
Healing and Thickness: They want to ensure the uterine wall at the site of the scar is thick and stable.
Recovery Notes: Any history of infection or slow healing after the surgery will be taken into account.

Analyzing these details allows doctors to mitigate risks and create a personalized plan for your surrogacy pregnancy. This ensures the best possible outcome for everyone involved.

How Surrogacy Agencies Evaluate C-Section History

At American Surrogacy, we take a balanced approach to evaluating your surgical history. We believe that your past C-sections are just one part of your story, not a definitive “yes” or “no” on their own.

Our screening process involves:

Initial Consultation: We discuss your pregnancy history and any concerns you have about your C-sections.
Medical Record Collection: We handle the heavy lifting of gathering your OB-GYN records and delivery summaries.
Expert Review: These records are reviewed by a fertility specialist who understands the nuances of gestational surrogacy.

We are here to advocate for you. We work to get the clarity needed to keep your journey moving forward if a doctor has questions about your C-section history. Our goal is to empower you with the facts so you can focus on the incredible gift you are providing to a waiting family.

Talk to an Expert About Your Surrogacy Eligibility

Every women’s birth story is unique. The only way to know for certain if you can be a surrogate after your C-sections is to speak with a professional who understands your specific medical background, even though general guidelines exist.

Your path to becoming a surrogate starts with a simple conversation, whether you have had one C-section or three. Our specialists are ready to provide the clarity and confidence you need to take your next step.

Fill out our form to learn more about how you can help create a beautiful future for a hopeful family.

How to Get Started with Surrogacy in 2026

Starting the surrogacy process with a reputable agency in 2026 protects your path to becoming a parent. Start today.

Starting your family through surrogacy is a huge decision. A reputable agency ensures your path to parenthood is protected from start to finish.

When you’re ready, we can walk you through how you’ll find your surrogate and how we protect your savings, so you can stop worrying about the “how” and start looking forward to the ‘”who.”

Fill out our simple form today to take the first steps.

What Does It Mean to Start Surrogacy with a Reputable Agency?

Surrogacy is a life-changing process, and having a professional that you can trust to be there when you need them is vital.

A reputable agency brings a “one-stop” approach to the table, providing the coordination required for managing:

Thorough Screening Processes: A reputable agency thoroughly screens their surrogates before you ever see a profile. You shouldn’t have to wonder if a surrogate is ready; the agency should already know she is.
High-Quality Matching: A reputable agency uses a national reach to find a match quickly that isn’t just “available,” but is the right fit for your specific family goals.
Financial Transparency: Reputable agencies provide clear, upfront cost structures and risk-protection programs. You should never feel like you’re “rolling the dice” with your life savings.

For many intended parents, the decision to start surrogacy comes after years of navigating the emotional toll of infertility. Bekah and Gilad faced this exact reality with secondary infertility.

“I don’t know how long we would have been mourning the loss of not having another child,” Bekah says. “Surrogacy gave us hope through the entire time that we were trying to have this baby. We knew it could be done. It was just a matter of not giving up and finding the right people to help us.”

— Bekah and Gilad, Parents through Surrogacy. Watch their story below.

How to Get Started with Surrogacy: The 2026 Roadmap

The first phase is about getting your questions answered and making a plan We’ve designed our steps to help you move forward without unnecessary delays.

Step 1: Get Started with American Surrogacy: Your journey begins by reaching out to our team to create a personalized plan that works for your budget and timeline.
Step 2: Find the Best Surrogate Match Quickly: We help you create an Intended Parent Profile and utilize our national reach to find a surrogate who has already passed her medical and psychological evaluations
Step 3: Medical and Legal Clearance: Once a match is made, your surrogate completes medical evaluations at your clinic while attorneys draft your surrogacy agreement.
Step 4 Embryo Transfer: After the legal contracts are signed, the medical process begins, leading up to the exciting day of the embryo transfer.
Step 5: Pregnancy and Welcoming Your Baby: Our specialists provide ongoing support throughout the pregnancy and help you prepare for the moment you welcome your child into the world.

Breaking Down Surrogacy Costs in 2026

We know the costs are a major factor in your decision. Surrogacy in 2026 costs $100,000 - $200,000+ on average.

Agency fees exist to fund the extensive screening, coordination, and support services that keep your journey on track and your surrogate well-cared for throughout the pregnancy.

We offer a Limited Risk Program designed specifically to act as a financial protection measure for our families.

Instead of fearing the “what ifs,” this program offers:

Unlimited Matching: You don’t have to pay repeat agency fees if a match falls through.
Fee Refunds: If the journey ends without a baby and you have no embryos left, you may be refunded certain fees.
Financial Transparency: You will have a clear understanding of where your money goes, and how these costs help you become parents quicker.

Get a financial plan that protects your savings from day one. Learn more about what you’re paying for and our Limited Risk Program.

How Long Does Surrogacy Take?

Surrogacy takes time, usually 14 to 20 months, but we work to keep it as short as possible.

However, the surrogacy timeline and length can vary based on several factors, and we want to ensure you have a realistic expectation of the time involved.

Be wary of programs where matching takes 6 to 18 months; this often happens at other agencies due to limited outreach or matching parents too early in the steps to start the surrogacy process with an agency.

Get a better idea of what your journey could look like with our surrogacy timeline.

How to Find a Surrogate in 2026

Our goal is to help you find a surrogate who is a perfect match for your family’s values. We emphasize a 1 - 4 months match time because we focus on pre-screening all surrogates before they are even shown to you.

This means we have already reviewed her medical records and ensured she meets all physical and psychological requirements before she ever appears on your radar.

Once you find a surrogate you are interested in, we facilitate a connection to ensure the feeling is mutual before moving to the medical “all-clear”

Ensuring Your Surrogate is Protected and Supported

A reputable agency is defined by how it treats the woman carrying your child. When starting the surrogacy process with a reputable agency, ask about their surrogate support systems.

Our goal is for your surrogate to feel supported and respected.

We advocate for both of you to make sure the process is fair. This leads to a better relationship between you and your surrogate.

Legal and Medical Readiness: Preparing for the Transfer

The legal and medical clearance stages are the essential milestones that must be cleared before the physical process can continue. These phases begin immediately after the match is finalized.

The Legal Phase: In the legal phase, both you and the surrogate will have your own attorneys when drafting your surrogacy contract. This provides the legal security you need to feel safe.
The Medical Phase: After the contracts have been signed, your surrogate will start her specific medication protocol.

Once the clinic gives the medical “all-clear” and the legal contracts are signed, the embryo transfer can take place, marking the official start of the pregnancy phase in your guide to starting the surrogacy process with a reputable agency.

How to Evaluate if a Surrogacy Agency is Right for You

We want to give you unbiased insight so you can choose the best surrogacy agency for your specific needs.

Does the agency fully pre-screen their surrogates before showing you a profile? A reputable agency should be able to prove they have already reviewed medical records, conducted background checks, and completed psychological clearances.
What are their match times? A reputable national agency should be able to offer match times of 1 to 4 months. Longer wait times often indicate a struggle to reach and retain qualified surrogates.
Does the agency offer financial protection? A reputable agency prioritizes your financial security by ensuring that a failed transfer or a broken match doesn’t force you to pay double to start over.

A balanced approach that prioritizes the health and happiness of everyone involved is usually the mark of a truly professional and ethical program.

The First Step: Reaching Out for an Initial Consultation

Knowing how to get started with surrogacy helps turn a complex dream into a manageable reality.

If you’re ready to match with a pre-screened surrogate in 1 - 4 months or simply need a clear breakdown of costs, fill out our form to connect with our specialists and get the clarity you deserve.

How Many Times Can You Be a Surrogate?

Explore the rewards of being a career surrogate. Learn about health safety, age flexibility and the steps for your next surrogacy journey.

For many women, surrogacy is a meaningful and rewarding journey that fosters deeper understanding of themselves, love, and family. The profound fulfillment found in this role often motivates women to help a second or third family on their path to parenthood.

Most medical guidelines allow you to safely complete up to five total pregnancies throughout your lifetime. This limit ensures you can continue building families while prioritizing your long-term health.

If you’re considering this path, fill out our contact form and we can discuss your previous surrogacy journey and next steps toward becoming a surrogate again.

How Many Times Can I Be a Surrogate?

There is no universal law that dictates a specific number, but American Surrogacy follows the guidelines set by the American Society for Reproductive Medicine (ASRM).

These guidelines generally recommend a limit of five vaginal births or three C-sections. This total includes your own biological children and any previous surrogacy journeys you have completed.

By following these established limits, medical professionals help you maintain an optimal environment for a healthy pregnancy. This proactive approach focuses on:

Maintaining the long-term health of your uterine environment.
Promoting faster physical recovery after each delivery.
Ensuring your body remains strong for your own children.
Creating the safest possible experience for both you and the baby.

These boundaries are in place to ensure you have a rewarding and complications-free experience. Staying within these limits allows you to give the gift of life with total confidence.

What is a Career Surrogate?

A career surrogate is someone who dedicates themselves to carrying babies for intended parents multiple times, considering surrogacy as a long-term commitment or profession.

Unlike a one-time journey, this path allows you to repeatedly help parents build their families while staying within safe medical limits. You gain a profound sense of purpose through this impact.

Benefits include significantly higher compensation and a “proven” medical history that appeals to intended parents. Your experience often leads to faster matching and a smoother, more confident journey.

How Long Should Surrogates Wait Between Pregnancies?

The recommended wait time between surrogacies is at least 6 to 12 months. This timeframe depends on your delivery type and your overall physical recovery.

Your body needs this time to heal and replenish vital nutrients. A six month wait is often sufficient after a smooth vaginal delivery to ensure your health is restored.

C-sections often require a full 12 month wait to ensure the uterine scar is fully healed. Mental readiness is just as significant as physical healing for your next commitment.

Taking this time allows you to process the emotions of your previous journey. It ensures you have the physical and mental energy required for another successful journey.

The Real Benefits of Repeat Surrogate Journeys

Deciding on another journey allows you to leverage the wisdom and peace of mind you gained during your first pregnancy. Choosing to become a surrogate again offers several unique advantages:

Increased Confidence: You enter the process knowing exactly how your body responds to medications and the embryo transfer.
Reduced Stress: Familiarity with the clinical steps allows you to relax and enjoy the pregnancy more deeply.
Faster Matching: Intended parents are frequently drawn to “proven” surrogates with a track record of healthy pregnancies.
Sibling Journeys: You may have the opportunity to carry a sibling for a family you helped before, creating a unique and lasting bond.

How Much Do Experienced Surrogates Get Paid?

Experienced surrogate compensation is significantly higher than first-time pay. We value your expertise since you have successfully navigated the medical and emotional demands before.

At American Surrogacy, experienced surrogates can earn between $60,000 and $110,000+. This comprehensive package is broken down to reflect your unique expertise and reliability:

Higher Base Compensation: Your proven track record as a healthy gestational carrier commands a premium base pay.
Reduced Onboarding Time: You require less training and preparation, providing peace of mind for intended parents.
Increased Monthly Allowances: Experienced surrogates often receive higher allowances to cover out-of-pocket expenses and comforts.
C-Section Completion Fees: Contracts typically include extra fees for surgical deliveries to account for longer recovery times.
Experience Bonuses: Many journeys include specific bonuses that acknowledge your status as a “proven” carrier.

This premium pay reflects your status as an expert in the process. Your familiarity with the medical and legal steps makes the entire journey smoother for everyone involved.

What to Expect When Returning for Another Surrogacy Journey: 4 Steps

Returning for a new journey involves a familiar but thorough screening process. This transparency ensures you and the intended parents move forward with absolute safety and peace of mind.

The process follows these key steps to ensure you are ready for a new journey:

Step 1: Application Update and Record Review: We begin with an updated application and a review of your most recent delivery records. We verify that your recovery was smooth and that you meet all primary health requirements.
Step 2: Medical Screening: You will complete a repeat medical screening at the fertility clinic. This involves blood work and a physical exam to confirm your hormone levels and uterine health are still optimal.
Step 3: Psychological Evaluation: This required check-in helps you evaluate your current life balance. It ensures you have the emotional support needed for another year-long commitment.
Step 4: Matching Phase: Once you receive medical and psychological clearance, we move into the matching phase. Your experience often makes this stage much faster, as you are already a “proven” carrier.

This thorough approach ensures that every participant is prepared for a successful outcome. Your safety remains our top priority throughout every step of the return process.

Is There an Age Limit to Be a Repeat Surrogate?

Most agencies and fertility clinics prefer surrogates to be between the ages of 21 and 40. This age window typically represents the lowest level of medical risk for the gestational carrier.

Age requirements can often be more flexible for women who have successfully completed previous surrogacy journeys. Your history of healthy and uncomplicated pregnancies serves as a powerful indicator of your physical readiness.

Specialists make these decisions on a case-by-case basis after a thorough evaluation of your health. Your extensive experience is a significant asset, though your current medical screening remains the deciding factor for safety.

Can I Be a Repeat Surrogate if I Had a C-Section?

You can be a repeat surrogate if you have had a C-section, but medical experts typically cap surgical deliveries at three. This total includes your personal births and your surrogacy journeys. This limit helps ensure your body remains a safe and healthy environment for both you and the baby.

Fertility clinics focus on this limit to manage conditions like placenta accreta, where the placenta grows too deeply. They also monitor scar tissue to ensure your future deliveries are as straightforward as possible.

If you have had one or two C-sections and recovered well, you are often still a wonderful candidate. Our team will review your records to help you confidently move forward with your next journey.

When Should I Say No to Another Surrogacy Journey?

Knowing when to stop is just as important as knowing when to start. You might feel that your body or your family simply needs a break from the process. Surrogacy is a profound physical and emotional commitment. You should listen to your body if you feel signs of burnout or if your health has shifted.

Risk assessment is a personal process that should involve your family and your OB/GYN. If your last pregnancy involved complications, the risks might outweigh the rewards.

Your well-being is our primary concern at American Surrogacy. We support your decision to step back when the time is right for you and your family.

Thinking About Being a Surrogate Again? Let’s Talk.

If you have already experienced the joy of helping a family grow, you know how life-changing this process is. We are here to support your next chapter.

Whether you are ready to start your second journey or your fifth, American Surrogacy provides the expert guidance you deserve. Let us help you maximize your impact.

Ready to be a surrogate again? Fill out our contact form to learn everything you need to know about your next surrogacy journey.

Can’t Carry a Pregnancy Due to a Back Injury? Here’s How You Can Still Grow Your Family

A back injury shouldn’t stop you from being a parent. Choose a safe path that protects your health while you grow your biological family.

A back injury or spinal condition shouldn’t end your dream of becoming a parent.

Surrogacy after a back injury offers a safe, medically recognized path to parenthood.

Wondering what surrogacy looks like in your situation? Connect with a surrogacy specialist today to find out.

We are here to help you understand how surrogacy works, the medical reasons why intended parents choose this path, and the specific ways American Surrogacy supports you through every step of the process.

Why Surrogacy for Back Injury Is a Safe Next Step After Being Told You Can’t Carry

When a doctor advises against carrying a pregnancy due to a spinal condition, it can feel like a door is closing on your future as a parent.

Choosing surrogacy for a back injury is a proactive medical decision to ensure you are physically healthy enough to be the parent your child needs.

Pregnancy fundamentally shifts your center of gravity and releases hormones like relaxin that loosen spinal ligaments. For those with existing injuries, this creates a high risk of permanent nerve damage or loss of mobility.

By choosing a gestational surrogate, you are protecting your long-term health while still achieving the dream of a biological child.

Now that you’ve chosen a safer path, the next logical question is: How do I find a surrogate? Learn more about our matching process.

Maintaining a Genetic Connection Through Surrogacy After a Spinal Injury

One of the biggest misconceptions for intended parents with back issues is that their injury affects their fertility. In reality, a spinal injury typically has no impact on egg or sperm quality.

Can a woman with a spinal cord injury have biological children? Yes. While carrying a pregnancy may be high-risk, your eggs can be retrieved through IVF to create embryos.
The Role of the Gestational Surrogate: In a gestational surrogacy arrangement, the surrogate has no genetic link to the baby.
The Result: You maintain a 100% genetic connection to your child. The surrogate provides a safe environent for the baby to grow, but the DNA belongs entirely to you.

What the Surrogacy Process Looks Like for Intended Parents With Back or Spinal Injuries

Becoming a parent through surrogacy follows a structured, supportive path. While the physical strain is handled by your surrogate, you are the heart of every milestone.

Step 1: Connecting with Your Agency. Your journey begins with a consultation to discuss your goals. We help you navigate the requirements for “medical necessity” often needed for legal clearance.
Step 2: Matching with a Surrogate. You are paired with a fully screened surrogate who understands your situation and is excited to help.
Step 3: Legal Protections. Attorneys finalize a contract that outlines everyone’s roles and protects your parental rights.
Step 4: Embryo Transfer. Through IVF, your embryos, created from your own eggs and sperm, are transferred to the surrogate.
Step 5: Pregnancy and the Big Day. You share the pregnancy experience with your surrogate, attending appointments and preparing for your baby’s arrival. You will be there at the hospital to welcome your child home.

Knowing the steps is one thing; understanding the timeline is another. Learn more about how long the surrogacy process takes and what to expect at each step.

Emotional Realities of Choosing Surrogacy for a Back Injury

Accepting that you cannot safely carry a child is a significant emotional shift.

Even if you are not facing traditional infertility, it is common to experience a sense of grief when a doctor advises against pregnancy for your physical safety.

Surrogacy allows you to transform a medical “no” into a different kind of “yes.” By protecting your spine now, you are ensuring you can physically show up for the years of lifting, playing, and caregiving that follow.

Choosing a surrogate isn’t a “backup plan,” it is a proactive medical decision to prioritize your health while growing your family

Preparing for Parenthood After a Spinal Injury: Post-Surrogacy Considerations

Becoming a parent is a physical job, and if you are living with a back or spinal injury, you need a plan for “adaptive parenting”. This involves setting up your home to minimize spinal strain while you care for your baby..

Consider these tips for caring for a child when you have a spinal cord injury to make your home more accessible:

Adaptive Cribs: Look for cribs with side-opening “gates” so you don’t have to lean over a high rail while holding a baby.
Height-Adjustable Gear: Ensure changing tables and bath stations are at a height that allows you to keep your spine neutral.
Lightweight Strollers: Choose strollers that are easy to fold and lift, or look for models compatible with wheelchairs if needed.
Accessible Nursery Layout: Keep all essential supplies at waist height to prevent unnecessary reaching.

Planning for these details now allows you to focus entirely on bonding with your baby once they arrive.

How American Surrogacy Supports Intended Parents Exploring Surrogacy for Back Injury

At American Surrogacy, we provide a specialized support system designed to handle the logistical and financial “heavy lifting,” allowing you to focus on your recovery and your baby.

Our intended parents typically find a match within 1 to 4 months.
Our Limited Risk Program provides a comprehensive safety net, offering unlimited matching at no extra cost.
Every surrogate in our network undergoes an intensive screening process before they are ever presented as a match, saving you from the heartbreak of mid-process medical disqualifications.

By choosing American Surrogacy, you are choosing a partner that prioritizes your family’s timeline just as much as your physical health.

Fill out our simple form today to get started.

I’m Having a Baby via Surrogacy but Can’t Breastfeed Because of Double Mastectomy

Explore safe infant feeding paths, including donor milk and formula, and discover powerful bonding rituals for parents after a mastectomy.

Navigating the transition to parenthood after a double mastectomy brings a unique set of emotional and physical considerations.

Choosing safe alternatives like donor milk or formula allows you to focus on your recovery while providing everything your child needs.

Connect with our surrogacy specialists to ensure you have the resources needed for a smooth transition to parenthood.

What Are My Baby Feeding Options After a Double Mastectomy?

For parents who have undergone significant surgery, the most important thing to know is that your baby has several safe ways to receive the nutrition they need to thrive.

Depending on your situation, you might choose:

Infant formula
Donor breast milk
Milk provided by your surrogate

Many families find that the best approach involves a combination of these methods, allowing for flexibility as you adjust to parenthood.

Using a Supplemental Nursing System (SNS) After Mastectomy

If you deeply desire the physical experience of nursing, a supplemental nursing system (SNS) is a valuable tool.

This device consists of a reservoir filled with formula or donor milk, with thin, flexible tubes that are taped near your nipples.

When the baby latches onto your breast, they receive the milk through the tubes. While this does not produce natural milk after a double mastectomy, it allows for:

The physical sensation of nursing for both parent and baby.
Sustained skin-to-skin contact during every feeding session.
An identical feeding rhythm to traditional breastfeeding.

Many parents find that using an SNS helps bridge the emotional gap caused by surgery, allowing them to feel the unique closeness of nursing while ensuring the baby is fully nourished.

Choosing the Best Formula If You Can’t Breastfeed

When selecting a formula after a mastectomy, you can choose from standard cow’s-milk bases, hypoallergenic options for sensitivities, or organic brands.

Standard formulas: Typically cow’s-milk-based and suitable for the majority of healthy infants.
Hypoallergenic formulas: Designed for babies with sensitivities or confirmed allergies to cow’s milk protein.
Organic formulas: Made with ingredients that meet strict organic farming standards.

Consumer Reports has previously tested various formulas for heavy metal contaminants like arsenic and lead. Following these results, the FDA has worked to strengthen oversight to better protect infants from environmental toxins.

Can My Surrogate Provide Breast Milk?

In some surrogacy arrangements, the surrogate may provide breast milk after birth.

Because a double mastectomy makes breastfeeding impossible, discussing this during the initial matching phase ensures everyone is aligned.

This arrangement should be clearly defined in your surrogacy contract to cover the surrogate’s time, supplies, and shipping logistics.

At American Surrogacy, our specialists act as a bridge during these conversations, helping you navigate the request with transparency and respect so that the focus remains on a healthy, collaborative partnership.

How to Access Donor Milk Safely

Donor milk is an excellent alternative if you want your baby to receive breast milk but cannot provide it yourself.

The FDA recommends using only milk from accredited banks, such as those associated with the Human Milk Banking Association of North America (HMBANA).

While donor milk is a safe option, it typically costs $3 to $5 per ounce to cover processing.

While donor milk provides essential nutrients, it typically costs between $3 and $5 per ounce to cover screening and processing fees. It is crucial to avoid unvetted online milk-sharing communities, as unscreened milk can carry risks of infectious diseases or exposure to medications.

Bonding With Your Baby Without Breastfeeding

Many parents worry they might miss out on the biological connection formed during nursing.

However, bonding is not dependent on the source of the milk, but on the presence, touch, and responsiveness you offer. You can grow that connection deeply through intentional feeding rituals:

You can grow that connection deeply through intentional feeding rituals:

Skin-to-skin contact: Holding your baby against your bare chest during bottle feeding regulates their heart rate and promotes security.
Gazing: Maintaining eye contact during feeds helps your baby learn your expressions and feel recognized.
Scent cloths: Keeping a soft cloth against your skin and then placing it near the baby helps them associate your scent with comfort.

Overcoming Guilt When You Can’t Breastfeed

It is natural to feel a sense of loss when a medical necessity changes how you imagined your first days of parenthood.

However, nourishment is a holistic act. By choosing a safe feeding alternative, you are protecting your recovery and ensuring you have the energy and health required to be fully present for your child.

If these feelings become overwhelming, seeking professional counseling can help you process your emotions and reframe your perspective on nourishment.

At American Surrogacy, we provide the expert surrogate screening, matching, and emotional support needed to navigate these sensitive post-birth details.

Start your journey with us today and take the final steps toward parenthood with peace of mind.