Surrogacy Market Size, Share, Trends, Growth | 2032

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Surrogacy Market

The surrogacy market has been experiencing significant growth, driven by increasing infertility rates and advancements in medical technology. In 2023, the market size was valued at USD 81.5 billion and is projected to grow at a compound annual growth rate (CAGR) of 24.3% from 2024 to 2032, reaching an anticipated value of USD 577.8 billion by 2032. This report provides an in-depth analysis of market dynamics, segmentation, competitive landscape, and future outlook.


Surrogacy is a method of assisted reproduction where a woman, known as a surrogate, agrees to carry and deliver a child for another person or couple. This method is categorized into two main types: traditional surrogacy, where the surrogate is also the biological mother, and gestational surrogacy, where the surrogate carries a child conceived through the egg and sperm of the intended parents or donors. Over the past decade, surrogacy has gained popularity due to increased awareness and acceptance, alongside technological advancements in reproductive medicine.

Market Dynamics


Increasing Infertility Rates: One of the primary drivers of the surrogacy market is the rising incidence of infertility globally. Factors contributing to infertility include lifestyle changes, delayed parenthood, environmental factors, and medical conditions. As more individuals and couples face difficulties in conceiving naturally, the demand for surrogacy services continues to grow.

Advancements in Medical Technology: Technological advancements in reproductive medicine, such as in vitro fertilization (IVF) and genetic screening, have significantly improved the success rates of surrogacy. Innovations in embryo freezing, preimplantation genetic diagnosis (PGD), and fertility preservation have also contributed to the market’s growth.

Changing Societal Attitudes: Societal perceptions of surrogacy are evolving, with increasing acceptance of diverse family structures and reproductive choices. This shift has led to greater willingness among individuals and couples to consider surrogacy as a viable option for building their families.


Ethical and Legal Challenges: Surrogacy is fraught with ethical and legal complexities. Different countries have varying regulations, with some banning or heavily restricting the practice. These legal uncertainties can deter potential intended parents and surrogates from engaging in surrogacy arrangements.

High Costs and Accessibility Issues: Surrogacy is an expensive process, often costing tens of thousands of dollars. This high cost, coupled with limited insurance coverage, can make surrogacy inaccessible to many. Additionally, the availability of surrogacy services varies widely, with certain regions having more established infrastructure and expertise.


Emerging Markets: Emerging markets in Asia-Pacific, Latin America, and the Middle East offer significant growth opportunities due to their large populations and improving healthcare infrastructure. These regions are witnessing increasing demand for surrogacy services, driven by rising infertility rates and growing acceptance of assisted reproductive technologies.

Technological Innovations: Continued advancements in reproductive technologies present opportunities for improving surrogacy outcomes and reducing costs. Innovations such as artificial intelligence in embryo selection, non-invasive prenatal testing, and improved genetic screening can enhance the efficiency and success rates of surrogacy procedures.


Regulatory Hurdles: Navigating the complex regulatory landscape of surrogacy remains a significant challenge. Countries with restrictive laws or inconsistent regulations create barriers to market growth and cross-border surrogacy arrangements.

Ethical Considerations: Ethical issues related to surrogacy, such as the exploitation of surrogates and the commercialization of reproduction, continue to spark debate. Addressing these concerns is crucial for the sustainable growth of the market.

Market Segmentation

By Type of Surrogacy

Traditional Surrogacy: In traditional surrogacy, the surrogate mother provides her own egg, making her the biological mother of the child. This type of surrogacy is less common due to legal and emotional complexities.

Gestational Surrogacy: Gestational surrogacy involves the implantation of an embryo created through IVF using the eggs and sperm of the intended parents or donors. The surrogate has no genetic link to the child. This method is more widely accepted and practiced.

By Service Provider

Fertility Clinics: Fertility clinics play a pivotal role in the surrogacy process, offering medical services such as IVF, genetic testing, and embryo transfer.

Surrogacy Agencies: These agencies facilitate the surrogacy process by matching intended parents with suitable surrogates, providing legal and psychological support, and coordinating medical procedures.

Hospitals and Surgical Centers: Hospitals and surgical centers offer specialized reproductive services and medical care throughout the surrogacy process.

Others: Other service providers include legal firms, counseling services, and support groups that assist in various aspects of the surrogacy journey.

By Region

North America: The surrogacy market in North America is well-established, driven by favorable regulations, advanced healthcare infrastructure, and high demand for reproductive services.

Europe: Europe presents a diverse market with varying regulations across countries. The region sees significant demand for surrogacy services, particularly in countries with more permissive legal frameworks.

Asia-Pacific: The Asia-Pacific region is experiencing rapid growth in the surrogacy market, driven by rising infertility rates, increasing medical tourism, and expanding healthcare infrastructure.

Latin America: Latin America offers growth opportunities due to improving healthcare services and increasing acceptance of assisted reproductive technologies.

Middle East and Africa: While the market in this region is relatively nascent, there is potential for growth driven by rising awareness and demand for reproductive services.

Market Size and Forecast (2023-2032)

The surrogacy market was valued at USD 81.5 billion in 2023 and is expected to grow at a CAGR of 24.3% from 2024 to 2032. This growth is attributed to increasing infertility rates, advancements in reproductive technologies, and changing societal attitudes towards surrogacy. By 2032, the market is projected to reach USD 577.8 billion, reflecting robust demand and expanding access to surrogacy services.

Competitive Landscape

The competitive landscape of the surrogacy market is characterized by the presence of numerous fertility clinics, surrogacy agencies, and hospitals offering a range of services. Key players are focusing on strategic partnerships, mergers and acquisitions, and technological advancements to enhance their market position.

Case Study: US Fertility and Ovation Fertility Merger

In April 2023, US Fertility and Ovation Fertility announced a definitive agreement to combine operations. This collaboration aims to drive growth and innovation while leveraging best practices to improve patient access, experience, and outcomes. The merger represents a significant consolidation in the market, enhancing the combined entity’s ability to offer comprehensive fertility services across the United States.

Key Players Analysis

Company Profiles

New Hope Fertility Clinic: Known for its innovative fertility treatments and high success rates, New Hope Fertility Clinic is a leading player in the surrogacy market.

Houston Fertility Center: This center offers a wide range of reproductive services, including IVF, egg donation, and surrogacy, with a focus on patient-centered care.

Ovation Fertility: A national network of reproductive endocrinologists and scientific thought leaders, Ovation Fertility is at the forefront of reproductive medicine and technology.

Extraordinary Conceptions: A premier surrogacy and egg donation agency, Extraordinary Conceptions provides comprehensive support to intended parents and surrogates.

CARE Fertility: With a reputation for excellence in assisted reproductive technologies, CARE Fertility offers personalized treatment plans and advanced fertility solutions.

Growing Generations, LLC: This agency specializes in surrogacy and egg donation, providing extensive support services to ensure successful outcomes for all parties involved.

IVI RMA GLOBAL: A global leader in reproductive medicine, IVI RMA GLOBAL offers cutting-edge treatments and has a strong presence in the surrogacy market.

CLINIC SCANFERT: Known for its high success rates and patient-focused approach, CLINIC SCANFERT offers a range of fertility treatments, including surrogacy.

BOURN HALL FERTILITY CLINIC: One of the pioneers in reproductive medicine, BOURN HALL FERTILITY CLINIC offers comprehensive fertility services and innovative treatments.

NOVA IVI FERTILITY: A leading fertility chain in India, NOVA IVI FERTILITY offers advanced reproductive treatments and personalized care.

Associates Reproductive Medicine & Infertility: This center provides a full spectrum of reproductive services, including IVF, egg donation, and surrogacy, with a focus on patient well-being.

Cardone: A reputable fertility clinic offering state-of-the-art reproductive technologies and compassionate care to intended parents and surrogates.

Key Features of the Market Report

Patent Analysis

The market report includes a detailed analysis of patents related to surrogacy and reproductive technologies, highlighting innovations and intellectual property trends that shape the market.

Grants Analysis

An analysis of grants awarded for research and development in reproductive medicine provides insights into funding trends and areas of focus for scientific advancements in surrogacy.

Clinical Trials Analysis

The report examines ongoing and completed clinical trials related to surrogacy and fertility treatments, offering insights into the latest research findings and their implications for the market.

Funding and Investment Analysis

An overview of funding and investment activities in the surrogacy market highlights key trends, major investors, and the financial health of leading companies.

Partnerships and Collaborations Analysis

The report analyzes strategic partnerships and collaborations among key players, providing insights into how these alliances drive innovation, enhance service offerings, and improve patient outcomes.

Regional Analysis

North America

The North American surrogacy market is well-established, with favorable regulations and advanced healthcare infrastructure. The United States, in particular, is a major hub for surrogacy services, attracting intended parents from around the world. The region’s market is characterized by high demand, significant investments in reproductive technologies, and a robust network of fertility clinics and surrogacy agencies.


Europe presents a diverse surrogacy market with varying regulations across countries. While some countries, such as Ukraine and Georgia, have permissive surrogacy laws and attract international intended parents, others have restrictive regulations. The market in Europe is driven by demand for high-quality reproductive services and the presence of reputable fertility clinics.


The Asia-Pacific region is experiencing rapid growth in the surrogacy market, driven by rising infertility rates, increasing medical tourism, and expanding healthcare infrastructure. Countries such as India and Thailand have emerged as popular destinations for surrogacy due to their affordable services and skilled medical professionals. The region’s market is expected to continue growing, supported by technological advancements and improving access to reproductive healthcare.

Latin America

Latin America offers growth opportunities in the surrogacy market due to improving healthcare services and increasing acceptance of assisted reproductive technologies. Countries like Mexico and Colombia are seeing rising demand for surrogacy services, driven by favorable regulations and the availability of affordable, high-quality medical care.

Middle East and Africa

The surrogacy market in the Middle East and Africa is relatively nascent, with potential for growth driven by rising awareness and demand for reproductive services. While cultural and legal barriers exist, increasing acceptance of assisted reproductive technologies and investments in healthcare infrastructure are expected to support market growth in the region.

Market Trends and Future Outlook

Emerging Trends

Rise of Medical Tourism for Surrogacy: Medical tourism for surrogacy is on the rise, with intended parents traveling to countries with favorable regulations and affordable services. This trend is expected to continue as more countries establish themselves as hubs for reproductive healthcare.

Increased Acceptance and Legalization: As societal attitudes towards surrogacy evolve, there is a growing trend towards increased acceptance and legalization of surrogacy in various countries. This shift is likely to expand the market and provide more opportunities for intended parents and surrogates.

Future Market Projections

The surrogacy market is poised for significant growth over the next decade, driven by increasing demand, technological advancements, and expanding access to reproductive services. Strategic recommendations for stakeholders include investing in technological innovations, navigating regulatory landscapes, and addressing ethical considerations to ensure sustainable growth.

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