Global Surrogacy Market Growth, Share, Size, Trends and Forecast (2025 - 2031)
By Type;
Gestational Surrogacy and Traditional Surrogacy.By Technology;
Intrauterine Insemination (IUI), In-Vitro Fertilization (IVF), and Others.By Service Provider;
Hospitals, Fertility Clinics, and Others.By Geography;
North America, Europe, Asia Pacific, Middle East and Africa, and Latin America - Report Timeline (2021 - 2031).Introduction
Global Surrogacy Market (USD Million), 2021 - 2031
In the year 2024, the Global Surrogacy Market was valued at USD 195.81 million. The size of this market is expected to increase to USD 299.92 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 6.3%.
The global surrogacy market has experienced significant growth in recent years, driven by a confluence of social, medical, and legal factors. This market encompasses the arrangement in which a woman, known as a surrogate, agrees to carry and deliver a child for another person or couple who will become the child's parents after birth. Advances in reproductive technologies, such as in vitro fertilization (IVF), have played a crucial role in enabling surrogacy arrangements, making it possible for individuals and couples who face infertility challenges, same-sex couples, and single individuals to have biological children. The increasing acceptance and normalization of diverse family structures have also contributed to the expansion of the surrogacy market, with more people considering this option to fulfill their dreams of parenthood.
TFurthermore, the surrogacy market's growth can be attributed to the varying legal landscapes across different countries. Some nations have established clear and supportive legal frameworks that protect the rights and interests of all parties involved in surrogacy arrangements, thereby attracting international clients seeking surrogacy services. Countries like the United States, particularly states like California, have become prominent surrogacy destinations due to their favorable legal environment and advanced medical facilities. In contrast, restrictive laws in other regions have driven people to seek cross-border surrogacy solutions, creating a dynamic and complex global market. The ethical, legal, and regulatory aspects of surrogacy continue to evolve, influencing the market's development and the choices available to intended parents.
The global surrogacy market is also influenced by economic factors, including the costs associated with surrogacy arrangements, which can vary widely depending on the country and specific circumstances. High costs in developed countries have led some intended parents to seek more affordable options abroad, further fueling the international dimension of the surrogacy market. Agencies and clinics offering surrogacy services have adapted to meet the growing demand by providing comprehensive packages that include medical procedures, legal assistance, and support services for both surrogates and intended parents. The commercialization of surrogacy has sparked debates about the ethical implications and the need for regulation to prevent exploitation and ensure fair practices.
Global Surrogacy Market Recent Developments
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In May 2023, The United Kingdom declared its intention to loosen its regulations around surrogacy. This includes making surrogacy available to single individuals and unmarried couples.
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In June 2023, The Supreme Court of the United States of America decided that a state cannot prohibit same-sex couples from using surrogacy. It is anticipated that this decision will raise surrogacy demand in the US.
Segment Analysis
The Global Surrogacy Market has been segmented by Type, Technology, Service Provider and Geography, type into traditional surrogacy and gestational surrogacy. Traditional surrogacy involves the surrogate mother being genetically related to the child, as her egg is fertilized by the intended father's sperm. However, gestational surrogacy, which involves using the egg of the intended mother or a donor and sperm from the intended father or a donor, is more common due to its legal and medical advantages, as the surrogate is not genetically related to the child. The growing preference for gestational surrogacy, coupled with increasing societal acceptance and legal frameworks in many countries, has contributed to the expansion of this segment.
By technology, the market is segmented into in vitro fertilization (IVF), genetic screening, and other assisted reproductive technologies (ART). IVF is the leading technology in the surrogacy process, where embryos are created outside the body and then implanted into the surrogate's uterus. Genetic screening, including preimplantation genetic testing (PGT), is increasingly being used to ensure the health of the embryo before implantation, reducing the risk of genetic disorders. Other ART techniques such as egg freezing and sperm banking are also gaining traction, allowing for greater flexibility and increasing success rates of surrogacy arrangements. Technological advancements in these areas are improving the chances of successful pregnancies, thus driving the growth of the surrogacy market.
The market is also segmented by service provider into surrogacy agencies, fertility clinics, and independent surrogacy arrangements. Surrogacy agencies play a central role in matching intended parents with surrogates and providing legal, medical, and psychological support throughout the process. Fertility clinics, which provide IVF and other ART services, also represent a significant portion of the market, as they work closely with surrogates and intended parents. Independent surrogacy arrangements, where intended parents and surrogates directly connect without the involvement of agencies, are less common but still a viable option for some families. Geographically, the surrogacy market is segmented into North America, Europe, Asia Pacific, Latin America, and the Middle East & Africa. North America is the largest market due to its well-established surrogacy laws and high demand, while the Asia Pacific region is expected to witness significant growth, driven by rising awareness, improved healthcare infrastructure, and evolving legal regulations surrounding surrogacy in countries like India and Thailand.
Global Surrogacy Segment Analysis
In this report, the Global Surrogacy Market has been segmented by Type, Technology, Service Provider and Geography.
Global Surrogacy Market, Segmentation by Type
The Global Surrogacy Market has been segmented by Type into Gestational Surrogacy and Traditional Surrogacy.
The global surrogacy market is segmented into two primary types: gestational surrogacy and traditional surrogacy, each with distinct characteristics and implications. Gestational surrogacy, the more common of the two, involves a surrogate mother carrying a pregnancy created through in vitro fertilization (IVF) using the intended parents' or donors' gametes. In this arrangement, the surrogate has no genetic link to the child, which addresses many legal and emotional complexities associated with traditional surrogacy. The rise in acceptance of gestational surrogacy is driven by advancements in reproductive technologies, increasing infertility rates, and growing social acceptance of alternative family-building methods. Countries with well-defined legal frameworks, such as the United States, Ukraine, and Greece, have become popular destinations for gestational surrogacy, attracting intended parents from across the globe.
Traditional surrogacy, on the other hand, involves the surrogate mother being artificially inseminated with the intended father's sperm, making her both the genetic and gestational mother of the child. This type of surrogacy is less common due to the potential legal and emotional challenges that arise from the surrogate's genetic connection to the baby. Issues related to parental rights and the surrogate's emotional attachment can complicate traditional surrogacy arrangements. Despite these challenges, traditional surrogacy remains an option for some, particularly in regions where gestational surrogacy is not legally permitted or when intended parents seek a more natural conception method. The choice between gestational and traditional surrogacy often depends on various factors, including legal regulations, costs, medical considerations, and personal preferences of the intended parents and the surrogate.
The surrogacy market's growth is influenced by various socio-economic factors, including changing societal attitudes towards non-traditional families, advancements in reproductive medicine, and the increasing financial capability of individuals to afford surrogacy services. The market is also shaped by the regulatory environment in different countries, with some nations embracing surrogacy as a legitimate means of family building, while others impose strict restrictions or outright bans. As the global landscape continues to evolve, the surrogacy market is expected to expand, driven by continuous advancements in medical technology and increasing global acceptance of diverse family structures.
Global Surrogacy Market, Segmentation by Technology
The Global Surrogacy Market has been segmented by Technology into Intrauterine Insemination (IUI), In-Vitro Fertilization (IVF), and Others.
Intrauterine Insemination (IUI) is a fertility treatment that involves placing sperm directly into a woman's uterus to facilitate fertilization. This method is less invasive and generally less expensive compared to other assisted reproductive technologies. IUI is typically recommended for couples with unexplained infertility, mild male factor infertility, or cervical mucus problems. The simplicity and lower cost of IUI make it a preferred initial treatment option for many couples considering surrogacy. However, its success rates are relatively lower compared to more advanced techniques like IVF, especially in cases involving more complex fertility issues.
In-vitro Fertilization (IVF) represents a more sophisticated and widely utilized technology in the surrogacy market. IVF involves the retrieval of eggs from the ovaries, which are then fertilized with sperm in a laboratory setting. The resulting embryos are cultured for a few days before being transferred to the surrogate's uterus. IVF offers higher success rates, particularly for individuals with severe infertility issues, including blocked fallopian tubes, advanced maternal age, or significant male factor infertility. Additionally, IVF allows for preimplantation genetic testing, which can help in selecting embryos free of certain genetic disorders, thereby increasing the chances of a healthy pregnancy and birth.
The surrogacy market also encompasses other technological approaches and innovations aimed at improving success rates and addressing specific reproductive challenges. These include techniques such as intracytoplasmic sperm injection (ICSI), which involves injecting a single sperm directly into an egg, and the use of donor eggs or sperm in cases where the intended parents are unable to produce viable gametes. Each of these methods contributes to the diverse landscape of assisted reproductive technologies available to intended parents and surrogates.
Global Surrogacy Market, Segmentation by Service Provider
The Global Surrogacy Market has been segmented by Service Provider into Hospitals, Fertility Clinics, and Others.
The global surrogacy market, a burgeoning sector in reproductive healthcare, is broadly segmented by service providers into hospitals, fertility clinics, and other specialized entities. Hospitals, equipped with comprehensive medical facilities and a wide range of healthcare professionals, play a significant role in the surrogacy market. These institutions offer extensive pre-natal and post-natal care, making them a preferred choice for surrogacy services. Hospitals provide a sense of security and reliability due to their established medical infrastructure and access to emergency care, ensuring that both surrogates and intended parents receive optimal medical support throughout the surrogacy process.
Fertility clinics, on the other hand, are specialized centers focusing exclusively on reproductive health and assisted reproductive technologies (ART). These clinics are at the forefront of the surrogacy market due to their specialized expertise in in-vitro fertilization (IVF) and other ART procedures, which are integral to the surrogacy process. Fertility clinics often offer personalized and tailored services, catering to the unique needs of each surrogacy case. Their staff typically includes reproductive endocrinologists, embryologists, and other specialists who are adept at managing the complexities associated with surrogacy, from embryo transfer to hormonal treatments for surrogates.
Apart from hospitals and fertility clinics, other entities such as surrogacy agencies and independent practitioners also contribute to the global surrogacy market. These providers often bridge the gap between medical services and legal, emotional, and logistical support required for surrogacy arrangements. Surrogacy agencies, in particular, facilitate the matching process between intended parents and surrogates, offer counseling services, and ensure adherence to legal regulations across different jurisdictions. Independent practitioners, including reproductive lawyers and consultants, provide crucial support in navigating the legal and ethical landscapes of surrogacy, making the process smoother for all parties involved.
Global Surrogacy Market, Segmentation by Geography
In this report, the Global Surrogacy Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East and Africa and Latin America.
Global Surrogacy Market Share (%), by Geographical Region, 2024
North America holds a substantial share of the global surrogacy market, primarily due to favorable legal frameworks, advanced healthcare infrastructure, and high awareness levels regarding assisted reproductive technologies. The United States, in particular, is a prominent market due to its progressive legal stance on surrogacy and the availability of numerous fertility clinics offering comprehensive surrogacy services. The region's market growth is further supported by a relatively high disposable income and the willingness of individuals to explore and invest in surrogacy as a viable option for having children.
Europe represents another significant segment of the global surrogacy market. Countries like the United Kingdom, Ukraine, and Greece have well-established surrogacy practices, albeit with varying degrees of regulatory oversight. The demand in Europe is driven by both domestic and international clients seeking surrogacy services. However, the market is characterized by a patchwork of regulations, with some countries having restrictive laws and others being more permissive. This regulatory diversity influences the market dynamics, leading to cross-border surrogacy arrangements within the continent.
The Asia Pacific region is anticipated to experience the fastest growth in the surrogacy market during the forecast period. This growth is attributed to relatively lower costs of surrogacy procedures, increasing medical tourism, and a rising incidence of infertility. Countries such as India, Thailand, and Cambodia have been prominent players in the surrogacy market, although regulatory changes in recent years have impacted the industry landscape. Despite regulatory fluctuations, the region continues to attract a significant number of international clients due to its cost advantages and the availability of high-quality medical services.
The surrogacy market in the Middle East and Africa is developing at a moderate pace. Cultural and religious factors play a crucial role in shaping the market in this region. While certain countries have strict prohibitions against surrogacy, others are gradually opening up to the concept. South Africa stands out as a country with relatively liberal surrogacy laws, contributing to regional growth. Additionally, increasing awareness and gradual shifts in societal attitudes toward infertility treatments are expected to drive market expansion in the coming years.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global Surrogacy Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Drivers, Restraints and Opportunity Analysis
Drivers
- Infertility Treatments
- In Vitro Fertilization (IVF)
- Single Parenthood
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Legal Frameworks -The legal frameworks governing surrogacy vary widely across the globe, significantly impacting the surrogacy market. These legal landscapes can range from supportive to highly restrictive, influencing where and how surrogacy arrangements can be carried out. This analysis explores the legal frameworks in key regions and countries, highlighting the complexities and variations in surrogacy laws.
In the United States, surrogacy laws are determined at the state level, resulting in a patchwork of regulations. Some states, like California, are known for their surrogacy-friendly laws, which support both gestational and traditional surrogacy, including provisions for pre-birth orders that establish intended parents' legal rights before the child's birth. Other states, such as New York, recently updated their laws to allow compensated gestational surrogacy, reflecting a growing trend towards more permissive regulations. However, some states still prohibit or heavily restrict surrogacy agreements, creating a complex legal environment for intended parents and surrogates.
The legal frameworks governing surrogacy across the globe are diverse and constantly evolving. These regulations significantly influence the surrogacy market, affecting where and how surrogacy arrangements can be made. Understanding these legal landscapes is crucial for intended parents and surrogates to navigate the complex and often challenging process of surrogacy. As societal attitudes and legal norms continue to shift, the global surrogacy market will likely see further changes in its regulatory environment.
Restraints
- Contractual Disputes
- Psychological Impact
- Parental Rights Issues
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Limited Access to Medical Facilities -Limited access to medical facilities presents a significant challenge in the global surrogacy market, impacting both intended parents and surrogate mothers. In regions with inadequate healthcare infrastructure or restrictive regulations, individuals may face barriers in accessing safe and reliable surrogacy services. Limited access to medical facilities can result in difficulties finding reputable clinics or agencies that offer surrogacy programs adhering to international standards of care. This lack of access may force them to travel long distances or even abroad to countries with more advanced medical facilities, increasing the financial and logistical burdens associated with surrogacy arrangements. Moreover, concerns about the quality of medical care and the safety of procedures in areas with limited healthcare resources may deter potential intended parents from pursuing surrogacy altogether.
Surrogate mothers may face challenges in accessing proper medical care and support throughout the surrogacy process. Inadequate prenatal care and monitoring can pose risks to both the surrogate and the baby's health, potentially leading to complications during pregnancy or childbirth. Without access to experienced healthcare professionals and appropriate facilities, surrogate mothers may also lack essential emotional and psychological support during what can be a physically and emotionally demanding experience.
Limited access to medical facilities underscores the importance of addressing healthcare disparities and improving infrastructure in regions where surrogacy is practiced. Efforts to enhance access to quality healthcare services, particularly in reproductive medicine and obstetrics, are essential to ensuring the safety and well-being of all parties involved in surrogacy arrangements. Additionally, promoting education and awareness about surrogacy-related medical practices and ethical standards can help mitigate risks and ensure that surrogacy is conducted in a responsible and ethical manner, regardless of geographical location.
Opportunities
- Ethical Surrogacy Practices
- Healthcare Infrastructure
- Innovative Fertility Treatments
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Surrogacy Insurance Products -The burgeoning global surrogacy market has spurred the development of surrogacy insurance products, offering financial protection and peace of mind to intended parents, surrogates, and other stakeholders involved in the surrogacy process. These insurance products are designed to mitigate the financial risks associated with surrogacy arrangements, which can involve significant expenses related to medical procedures, legal fees, and unforeseen complications. Surrogacy insurance typically covers a range of potential risks and scenarios, including medical expenses incurred by the surrogate during pregnancy and childbirth, expenses related to fertility treatments such as IVF, legal fees associated with drafting and reviewing surrogacy contracts, and compensation for lost wages or other financial losses incurred by the surrogate or intended parents due to medical complications or other unforeseen circumstances.
Insurance providers may offer specialized surrogacy insurance policies tailored to the unique needs and circumstances of intended parents and surrogates. These policies may include coverage for specific medical procedures, such as embryo transfer and prenatal care, as well as coverage for complications arising from the surrogacy process, such as miscarriage or preterm birth. Surrogacy insurance products may offer coverage for legal expenses associated with establishing parental rights and responsibilities, including adoption proceedings or court challenges to parental rights. This coverage can be especially valuable in cases where surrogacy laws and regulations vary widely between jurisdictions, potentially exposing intended parents to legal risks and uncertainties.
Surrogacy insurance products may also include provisions for psychological counseling and support services for intended parents, surrogates, and their families, recognizing the emotional challenges and complexities inherent in the surrogacy journey. The surrogacy market continues to grow and evolve, the availability and scope of surrogacy insurance products are likely to expand, providing greater accessibility and affordability to individuals and couples seeking to build their families through surrogacy. By offering financial protection and support, surrogacy insurance plays a crucial role in facilitating safe, ethical, and transparent surrogacy arrangements around the world.
Competitive Landscape Analysis
Key players in Global Surrogacy Market include.
- New Hope Fertility Center
- IVI-RMA Global
- Scanfert AVA Clinic
- Bourn Hall Fertility Clinic
- Nova IVI Fertility
- Ovation Fertility
- Bangkok IVF Center
- Extraordinary Conceptions
- Cardone & Associates Reproductive Medicine & Infertility LLC
In this report, the profile of each market player provides following information:
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Type
- Market Snapshot, By Technology
- Market Snapshot, By Service Provider
- Market Snapshot, By Region
- Global Surrogacy Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
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Infertility Treatments
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In Vitro Fertilization (IVF)
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Single Parenthood
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Legal Frameworks
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- Restraints
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Contractual Disputes
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Psychological Impact
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Parental Rights Issues
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Limited Access to Medical Facilities
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- Opportunities
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Ethical Surrogacy Practices
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Healthcare Infrastructure
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Innovative Fertility Treatments
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Surrogacy Insurance Products
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- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Global Surrogacy Market,By Type, 2021 - 2031 (USD Million)
- Gestational Surrogacy
- Traditional Surrogacy
- Global Surrogacy Market, By Technology, 2021 - 2031 (USD Million)
- Intrauterine Insemination (IUI)
- In-Vitro Fertilization (IVF)
- Others
- Global Surrogacy Market, By Service Provider, 2021 - 2031 (USD Million)
- Hospitals
- Fertility Clinics
- Others
- Global Surrogacy Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Global Surrogacy Market,By Type, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- New Hope Fertility Center
- IVI-RMA Global
- Scanfert AVA Clinic
- Bourn Hall Fertility Clinic
- Nova IVI Fertility
- Ovation Fertility
- Bangkok IVF Center
- Extraordinary Conceptions
- Cardone & Associates Reproductive Medicine & Infertility LLC
- Company Profiles
- Analyst Views
- Future Outlook of the Market