I. Surrogate Mother Screening: Strict Standards to Ensure Health and Safety
The standardization of Georgia’s surrogacy industry begins with the strict screening of surrogate mothers. According to the law and industry standards, surrogate mothers are required to fulfill the following core conditions:
Fertility experience: must be married and have given birth to at least one healthy child to minimize the risk of pregnancy and to ensure that she is physiologically fit to be a surrogate.
Age Limit: Usually between 25-40 years old to ensure that the mother is in her prime reproductive years and to reduce the likelihood of complications.
Health Screening: Includes testing for infectious diseases (e.g. HIV, Hepatitis B), gynecological exams, genetic history screening, and psychological evaluation to ensure that she is physically and mentally stable.
Background check: some agencies require surrogate mothers to provide proof of a clean criminal record and assess their family stability to avoid subsequent disputes.
Case reference: A well-known Georgian surrogacy agency has disclosed that its screening pass rate is only 35%. For example, a 32-year-old surrogate mother was eliminated due to a family history of diabetes, while another 28-year-old woman was allowed to join only after additional counseling was required due to a psychological assessment showing a tendency to anxiety.
II. Legal framework: clear rights and responsibilities and client protection
Georgia has constructed a client-centered legal system since the legalization of surrogacy in 1997:
Legal Parental Rights: The birth certificate only registers the name of the commissioning parents, and the surrogate mother has no legal rights, ensuring that the parent-child relationship is not disputed.
Contractual constraints: The surrogacy agreement specifies the cost payment nodes (e.g., successful embryo implantation, mid-pregnancy, and after delivery), medical liability, and breach of contract clauses. If the mother suffers a miscarriage due to her own reasons, she will only be partially compensated.
Cross-border compliance: Surrogate babies can obtain citizenship through the principle of nationality or place of birth of the commissioning parents, and the agency assists in obtaining passports and cross-border legal documents.
Risk Warning: Despite the legal protection of clients, there is a lack of explicit provisions on the rights of the pregnant mother. There have been cases where surrogate mothers have been denied payment by their clients due to premature labor, and the litigation cycle has lasted up to two years. Therefore, it is crucial to choose an organization with legal underwriting services.
III.Pregnancy management: medical monitoring and life support
Georgian surrogacy agencies ensure the safety of pregnancy through the whole process of specialized management:
Medical monitoring:
Embryo transfer: third-generation IVF technology (PGT) is used to screen for healthy embryos to reduce miscarriage rates.
Regular maternity checkups: including ultrasound, hormone level monitoring and genetic disease screening, with real-time synchronization of telemedicine reports provided by some high-end institutions.
Emergency Planning: For complications such as premature labor and pregnancy hypertension, partner hospitals have 24-hour obstetrics teams.
Life management:
Centralized Accommodation: Pregnant mothers usually stay in apartments managed by the institution, with customized meals by a nutritionist and limited outings to reduce the risk of infection.
Psychological support: Weekly psychological counseling is arranged to ease the anxiety of the expectant mother due to hormonal changes or emotional separation.
Case reference: A surrogate mother developed pre-eclampsia at 28 weeks of pregnancy, the agency immediately arranged for hospitalization and initiated a back-up surrogacy program, and eventually the commissioning parents succeeded in re-transferring the embryos through frozen embryos.
IV. Market Status: Globalized Demand and Mature Industrial Chain
Georgia has become the core market of global surrogacy by virtue of its high cost-effectiveness and medical level:
Industry scale: over 2,000 registered surrogacy cases in 2022, with a 100% growth in five years. The capital Tbilisi gathers 80% of surrogacy agencies, forming a complete industry chain from medical to legal services.
Client source: mainly for European, American and Asian high net worth clients, especially same-sex couples and older infertile couples.
Competitive differentiation: Compared with the “assembly line” model in Ukraine, Georgian agencies pay more attention to personalized services, such as providing genetically matched egg donors or customized twin solutions.
Challenges: Despite strong demand, the number of local mothers is limited, and some agencies are recruiting women from countries such as Kazakhstan and Thailand, which has led to controversy over transnational exploitation.
V. Ethics and safety: progress and concerns amidst controversy
Ethical controversy:
The Orthodox Christian community has condemned surrogacy as “against nature”, leading to social discrimination against the mothers.
Children’s rights groups have criticized the “commodification” of babies, such as a Netflix couple who had 10 children in one year through surrogacy, sparking public criticism.
Safety measures:
Medical compliance: formal agencies follow WHO standards for reproductive medicine, use disposable egg retrieval needles, and are equipped with first aid facilities8.
Anti-fraud mechanism: some organizations cooperate with the government to combat illegal intermediaries, such as Georgia, which has strengthened its auditing of transnational recruitment after the “egg farm” case uncovered by the Thai police in 2025.
VI. future trends: technology upgrades and policy fluctuations
Technology iteration: Some organizations have introduced AI embryo evaluation systems, increasing transfer success rates to 72%.
Policy risk: Georgia had a proposal to ban surrogacy for foreign clients in 2023, but it did not pass consideration due to economic pressures. The industry predicts that regulations may be tightened in the future, and clients are advised to start the process as early as possible.
Conclusion.
Georgia’s surrogate motherhood services have become an important option in the global field of assisted reproduction through specialized management, legal safeguards, and medical resources. However, clients need to carefully assess the qualifications of the organization and focus on the well-being of the gestational mother and ethical balance in order to achieve a true win-win situation.
Georgia Surrogacy Services,Legal IVF Hospital,Global Fertility Agency