Step-by-Step
Surrogacy can be a life-changing option when carrying a pregnancy isn’t safe, possible, or practical—whether due to medical history, uterine factors, same-sex male family building, or repeated pregnancy loss. At Hanabusa IVF, our role is to make the medical side of surrogacy feel clear and coordinated: building strong embryos, preparing for a safe transfer, and partnering with reputable surrogacy agencies so your journey is supported from every angle.
Surrogacy works best when the medical plan is precise and the team is coordinated. We focus on embryo quality, transfer success, and seamless communication between your clinic team, agency, and legal partners.
In-house third-party support, plus vetted agency partnerships in California and internationally—so every handoff meets our standards for coordination and care.
Surrogacy success depends heavily on embryo quality. We design IVF and lab strategy to maximize the chance of a healthy pregnancy.
We prioritize single embryo transfer and timing precision to support safety and reduce risk of multiple gestation.
Clear handoffs, documentation support, and synchronized timelines between intended parents, agency, legal team, and carrier.
Surrogacy supports many paths—medical necessity, LGBTQ+ family building, and complex reproductive histories—without judgment and with respect.
You cannot safely carry a pregnancy due to uterine factors, medical conditions, or prior surgeries
You’ve had repeated pregnancy loss or repeated failed transfers where carrying is not advisable
You are a gay male couple or an intended parent who needs a gestational carrier to build your family
Pregnancy would pose significant medical risk
You have embryos already and want to proceed with a carrier pathway
You’re medically able to carry and want to explore uterine evaluation, FET planning, or RPL care first
You are early in fertility evaluation and need clarity before choosing surrogacy
Surrogacy agency fees and carrier compensation (varies widely)
Legal fees (carrier agreement, parentage orders, escrow management)
Medical costs for IVF/embryo creation (if embryos are not yet created)
Screening and clearance for carrier
FET cycle and transfer costs
Medications and monitoring
Travel costs (depending on carrier location and agency structure)
Often included: FET transfer procedure and core monitoring
Often separate: agency fees, legal/escrow, insurance-related expenses, carrier compensation, travel, IVF creation costs
Surrogacy outcomes depend on factors like embryo quality, embryo genetic health (age-related), uterine environment of the carrier, and transfer timing. While many intended parents pursue surrogacy for higher safety and reduced medical risk to the intended parent, it is still important to be realistic: success is not guaranteed, and some families need more than one transfer.
Age and ovarian reserve markers
Egg and embryo quality
Sperm parameters and fertilization method
Uterine/lining factors
Diagnosis (endometriosis, tubal factor, male factor, etc.)
Transfer approach (fresh vs. frozen) and embryo stage
Surrogacy can take months to coordinate (agency match + legal + screening + medical cycle timing)
You’ll have a defined point person and clear documentation requirements
Typically a brief, outpatient procedure for the carrier
Clear updates at key milestones—embryo creation, carrier clearance, lining readiness, transfer, pregnancy confirmation
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You’re a fit for Traditional Fertility Care if any of these statements resonate with you:
You’re just getting started
You want clear first steps
You’ve explored clinics, but still feel at the beginning
You need fertility testing
Your labs look reassuring
Your situation feels straightforward
You have fewer complicating factors
You’re considering IUI
You’re new to IVF
You’re planning an FET
You’re considering PGT
If anything, complex becomes evident, we smoothly upgrade your pathway.
You’re a fit for Complex Care if any of these statements resonate with you:
Low AMH/AFC or DOR concerns
You have Diminished Ovarian Reserve (DOR)
You have POI or high FSH concerns
You’re considering Ovarian Rejuvenation (PRP)
Age 40+ or time feels limited
Prior IVF didn’t respond as hoped
Low egg numbers / embryo growth issues
Unsuccessful embryo transfers
Recurrent pregnancy loss (2+ losses)
Male factor needs ICSI or TESE
You’ve been told your case is complex
If your case is complex from the start, we build the right strategy from day one.
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