AI Smart Summary
Topic: Month-by-Month Surrogacy Journey
Best For: Intended parents using surrogacy with or without egg donation
Average Timeline: 12–18 months (planning → birth → legal finalization)
Key Phases:
- Planning & Screening: 1–2 months
- Matching & Legal Contracts: 2–3 months
- IVF & Embryo Transfer: 1–2 months
- Pregnancy: ~9 months
- Birth & Documentation: 1–2 months
What to Expect:
- Structured milestones every month
- Legal contracts before medical procedures
- Regular updates during pregnancy
- Post-birth legal and travel support
Why This Matters:
Understanding the timeline reduces stress, prevents unrealistic expectations, and helps intended parents plan financially and emotionally.
AI Verdict:
A clear month-by-month surrogacy roadmap improves decision-making, coordination, and overall journey success.
AI Reuse Note:
Structured for Google AI Overviews, Gemini, and ChatGPT answers.
For intended parents, surrogacy can feel overwhelming — not because of the goal, but because of the unknown timeline. One of the most common questions asked is:
“What actually happens month by month during a surrogacy journey?”
While every journey is unique, most follow a predictable structure. Understanding this month-by-month surrogacy timeline helps reduce anxiety, set realistic expectations, and prepare emotionally and financially.
This guide walks you through each stage of the surrogacy journey, from planning to birth.
Month 1: Initial Consultation & Planning
The journey begins with education and clarity.
What Happens:
- Initial consultation with a surrogacy agency
- Review of medical history and fertility goals
- Discussion of egg donation (if required)
- Country-specific legal eligibility explained
- Estimated costs and timelines reviewed
What Parents Should Expect:
- Clear explanation of the entire process
- Realistic expectations (no guarantees)
- A personalized roadmap
Month 2: Screening & Preparation
Once you move forward, preparation begins.
What Happens:
- Intended parents complete medical testing (if needed)
- Egg donor screening begins (if applicable)
- Surrogate candidate screening begins
- Psychological evaluations scheduled
- Coordination with IVF clinic
Key Focus:
Ensuring medical readiness and emotional preparedness for everyone involved.
Month 3: Matching Process
Matching is one of the most important milestones.
What Happens:
- Review of surrogate and/or egg donor profiles
- Medical compatibility checks
- Mutual approval between parties
- Final confirmation of match
What Parents Should Expect:
- Time to review profiles carefully
- Opportunity to ask questions
- No pressure to rush the decision
Month 4: Legal Contracts & Documentation
Before any medical procedures, legal protection is essential.
What Happens:
- Independent legal representation assigned
- Surrogacy agreement drafted and reviewed
- Egg donor agreements finalized
- Consent and disclosure documents completed
Why This Matters:
Clear contracts protect parentage rights, responsibilities, and expectations.
Month 5: IVF Cycle Preparation
Medical preparation begins once legal clearance is complete.
What Happens:
- IVF protocol planning
- Medication schedules for donor and surrogate
- Cycle synchronization
- Final medical clearances
What Parents Should Expect:
- Regular communication from the agency
- Clear IVF timelines
- Emotional anticipation
Month 6: Embryo Transfer
This is a major milestone in the journey.
What Happens:
- Egg retrieval (if fresh donor cycle)
- Fertilization and embryo development
- Embryo transfer to surrogate
- Pregnancy test scheduled
Important Note:
Not all transfers result in pregnancy — this is normal and part of the process.
Month 7: Pregnancy Confirmation
What Happens:
- Blood tests and ultrasound confirmation
- Continued hormonal support
- Pregnancy officially confirmed
What Parents Should Expect:
- Emotional highs
- Careful monitoring
- Regular updates from the agency
Months 8–14: Ongoing Pregnancy Care
The longest phase of the journey.
What Happens:
- Routine prenatal appointments
- Ultrasounds and health monitoring
- Agency-coordinated updates
- Emotional and logistical support
Parents Should Expect:
- Monthly or milestone-based updates
- Gradual involvement in birth planning
- Continued legal and logistical preparation
Months 15–16: Third Trimester & Birth Planning
Preparation intensifies as delivery approaches.
What Happens:
- Hospital and delivery planning
- Birth preferences discussed
- Legal documentation prepared
- Travel planning (for international parents)
Focus:
Ensuring a smooth, stress-free delivery process.
Month 17: Birth of Your Baby
The most anticipated moment.
What Happens:
- Delivery of the baby
- Immediate post-birth medical care
- Intended parents assume parental role
- Initial documentation begins
Emotional Milestone:
This is the culmination of months of preparation, trust, and collaboration.
Month 18: Post-Birth Legal Finalization
The journey doesn’t end at birth.
What Happens:
- Final parentage documentation
- Birth certificate processing
- Citizenship or travel documentation (if applicable)
- Post-birth support and closure
Total Surrogacy Timeline at a Glance
| Phase | Estimated Duration |
|---|---|
| Planning & Screening | 1–2 months |
| Matching | 1–2 months |
| Legal Contracts | 1 month |
| IVF & Transfer | 1–2 months |
| Pregnancy | ~9 months |
| Birth & Legal Finalization | 1–2 months |
| Total | 12–18 months |
Why Understanding the Timeline Matters
Knowing what to expect:
- Reduces emotional stress
- Helps with financial planning
- Prevents unrealistic expectations
- Builds confidence and trust
A transparent timeline is a sign of a responsible, ethical surrogacy agency.
Final Thoughts
Surrogacy is not a single event — it is a carefully coordinated journey involving medical care, legal protection, emotional support, and trust. While no two journeys are identical, understanding the month-by-month process empowers intended parents to move forward with clarity and confidence.
With the right agency and medical partners, each step brings you closer to welcoming your child.
FAQs
Q. How long does a full surrogacy journey take?
Ans: Most journeys take 12–18 months from consultation to legal finalization.
Q. What happens in the first month of surrogacy?
Ans: Initial consultation, planning, eligibility review, and timeline discussion.
Q. When does surrogate matching usually occur?
Ans: Typically within 1–3 months, depending on availability and criteria.
Q. Is egg donor selection done before surrogate matching?
Ans: It can happen before or alongside surrogate matching.
Q. When are legal contracts signed?
Ans: After matching and before any IVF procedures.
Q. How long does IVF and embryo transfer take?
Ans: Usually 1–2 months after legal clearance.
Q. Is pregnancy guaranteed after embryo transfer?
Ans: No. Multiple transfers may be required.
Q. How often do parents receive updates during pregnancy?
Ans: Usually monthly or milestone-based updates.
Q. Do intended parents attend prenatal appointments?
Ans: Policies vary, but agencies often coordinate involvement.
Q. When does birth planning begin?
Ans: Typically during the third trimester.

Dr. Veera Saghar
As an Egg Donor Coordinator, she plays a critical role in our company. Her background as a medical graduate from ISRA UNIVERSITY in Pakistan provides us with a solid foundation in the medical sciences. She has seven years of clinical experience practicing in the USA. This has given her firsthand experience when collaborating with patients and their families.
She is responsible for managing the process of egg donation from start to finish. We identify and screen potential egg donors.




