Basic Requirements to Become a Gestational Carrier

The American Society for Reproductive Medicine (ASRM) has established recommended guidelines for all surrogates/gestational carriers. These same guidelines will also be required by the fertility clinic assisting with the process. These guidelines help ensure the safest, healthiest possible pregnancy.

A potential surrogate/gestational carrier must meet these basic requirements:

  1. You must have previously given birth to at least one (live) child.
  2. You are between 21 – 42 years old, and in good health.
  3. You are a non-smoker and do not use drugs.
  4. You are of a healthy weight with a BMI under 32.
  5. You have had healthy pregnancies with no complications.
  6. You should be financially stable, and not on any form of public assistance.

We also ask Adoption Assistance gestational carriers to meet the following requirements:

  • Own a vehicle, for transportation to and from appointments.
  • Undergo a background check (husband/partner needs to as well, if applicable).
  • Undergo a psychological evaluation.
  • Undergo medical examination (STDs, drug test, Hepatitis test, pelvic exam, etc.)
  • Have no history of substance abuse or a significant criminal history.


The Gestational Carrier Process

Outlined below are the steps of a gestation surrogate’s journey. Hopefully, the information will help you decide if becoming a gestational carrier is the right choice for you. Our process is divided into four phases culminating in the birth of the child.

If being a gestational carrier feels right to you, we look forward to walking this journey with you!

Phase 1: The Application Process

  • The first step in being considered as a gestational carrier candidate is to complete a short initial gestational carrier application found on our website.
  • Once the completed application is submitted, it will be sent to our Gestational Carrier Specialist to make sure you initially qualify as a candidate.
  • When approved, you will be emailed more in-depth paperwork to complete.
  • The submitted paperwork will be reviewed and a personal consultation appointment with our Gestational Carrier Specialist will be arranged.
  • Medical records from previous pregnancies will be obtained and reviewed.

Phase 2: Screening and Testing

  • Once the application process is complete, you will have a phone interview with one of our Gestational Carrier (GC) Specialist.
  • Your GC Specialist will then arrange a time to come to your home for a casual meeting with you and your partner (if applicable). A Skype interview will be conducted in cases where distance prohibits an in-home interview.
  • Following the meeting, you will schedule a comprehensive evaluation of you and your partner (if applicable) with a mental health professional to discuss your suitability for the intricacies that surround a gestational carrier’s journey.
  • Background checks will them be conducted for you and any adult over the age of 18 living in your home.
  • Finally, if you have medical insurance, a detailed review will be conducted to help provide details on appropriate use of your insurance for a gestational carrier pregnancy.

Phase 3: Selection and Matching

  • You will now be officially added to our roster of available gestational carriers.
  • When prospective parents show interest in your profile, your GC Specialist will contact you to review the prospective parent’s profile and you will decide if you want to meet them.
  • Your GC Specialist will then schedule and facilitate a “match meeting” between you and the prospective parents. If each party feels positive about the match and desire to move forward, the match will be made.
  • Once you are matched, you will have a comprehensive physical evaluation at the prospective parent’s fertility clinic. Your partner (if applicable) will be asked to have blood tests as well.
  • At this point, you will contact your provided attorney for consultation. Your attorney will help protect you in all legal matters regarding the gestational carrier agreement.
  • Once the contract is finalized, signed by all parties and notarized, you will begin receiving monthly gestational carrier checks and attend monthly online support groups, which are both enjoyable and informative.

Phase 4: Pregnancy and Delivery

  • You’re now ready to begin working with a fertility clinic which will monitor you throughout this initial process. To begin, you will follow a cycle calendar of birth control pills and self-injections of fertility hormones to prepare your body for the embryo transfer. About 10 days after the embryo transfer, you will go to a local lab approved by the fertility clinic to have a blood test. The clinic will report back the hormone levels, which may indicate pregnancy.
  • When pregnancy is confirmed, you will schedule an ultrasound. Until around 10 weeks of pregnancy, you will have several monitoring ultrasounds at the fertility clinic. After this point, you will visit your own obstetrician for the duration of the pregnancy, including delivery (this is assuming your OB/hospital are in-network for the insurance in place throughout the surrogacy pregnancy).

When the baby or babies are born, you have completed your surrogacy journey and have made the prospective parent’s dreams come true! You can relax and recover from the birth knowing you’ve made an incredible lifelong impact on a deserving family!

Gestational Carrier Compensation

Adoption Assistance is dedicated to providing financial compensation to gestational carriers in our program. You are a very important part of a life-changing process, and it is important that you are fully compensated for your effort and expenses in this remarkable role. Compensation covers transportation to and from doctor visits, lost wages, childcare, nonprescription medication, maternity clothing. and compensation for your time and effort,

The total compensation package of $24,000 is paid in $2,500 increments each month from first confirmation of a fetal heartbeat, until the baby’s delivery. The balance of the remaining compensation is paid within 7 days of the baby’s birth.

The gestational carrier will also be reimbursed for all health care costs relating to prescriptions, co-pays, and deductibles that correspond to the pregnancy.