Background and Decision Making: A Rational Choice Across Fertility Dilemmas
Carmen and her partner Javier from Barcelona, Spain, chose Georgian surrogacy after four failed IVF cycles due to tubal blockage and recurrent miscarriages. Their core considerations included:
Legal certainty: according to Article 143 of the Georgian Civil Code, the commissioning parent is the legal guardian from the time of embryo transfer, the surrogate mother has no right to claim parental rights, and the birth certificate directly registers the prospective parent’s information.
Gender Screening Capability: Male embryos are accurately screened through third generation IVF technology (PGT-A) to meet the family’s need for a male child.
Cost Advantage: The cost of a full set of surrogacy services is approximately 65,000 Euros, which is only 1/3 of the cost in mainland Spain.
Stage 1: Medical Preparation and Embryo Sex Screening
January – March 2025: Personalized Ovulation and Genetic Screening
Ovarian function assessment: Carmen’s AMH value of 1.3 ng/mL, antagonist ovulation regimen (daily injections of Gonal-F 225 IU + Menopur 150 IU), resulting in 9 mature eggs.
Embryo culture and PGT-A screening: after fertilization by ICSI technique, 6 embryos developed to the blastocyst stage and 3 chromosomally normal embryos (2 males and 1 female) were screened by whole genome sequencing (NGS). The couple selected 1 male embryo (grade 4AA) for transfer.
Client feedback:
“The transparent report of the embryo gender screening reassured us that the doctor presented the embryo development data in a 3D dynamic model and explained that the chromosome screening was 99% accurate.”
Stage 2: Kazakh surrogate mother matching and legal safeguards
April 2025: surrogate mother screening and contract signing
The agency offers five surrogate mother candidates, and Carmen ultimately selects Ainur, a 30-year-old surrogate mother from Kazakhstan, whose strengths include:
Health indicators: endometrial thickness of 8.7 mm (with a clear third line), BMI of 22.5, and no history of pregnancy complications.
Birth experience: already had one normal birth and no tendency towards postpartum depression as confirmed by SCL-90 psychological scale test.
Tripartite surrogacy agreement: the contract specifies the ownership of the embryos, payment in stages (30% for contracting, 30% for successful transfer, 40% for delivery) and medical liability.
Insurance coverage: the surrogate mother is covered by a commercial insurance with a sum insured of 80,000 euros, covering 20 complications such as pre-eclampsia and placental abruption.
Phase 3: Pregnancy Management and Cross-Cultural Collaboration
May-November 2025: Refined Health Monitoring
Residence standardization: Ainur stayed in a medically supervised apartment provided by the institution, with daily recordings of blood pressure (average 115/75 mmHg), fetal heart rate (140-160 beats per minute) and weight gain (≤0.4 kg per week).
Nutritional intervention: customized by a dietitian High-protein Mediterranean diet (110g protein, 180g complex carbohydrates per day) supplemented with iron (30mg/day) and DHA (200mg/day) reduced the risk of gestational anaemia from 15% to 4%.
Contingency: At 28 weeks of pregnancy, Ainur showed signs of gestational diabetes, and the organization activated the teleconsultation system, where Spanish endocrinologists and the Georgian obstetrics team worked together to develop an insulin dosage regimen to successfully control blood glucose levels.
Client Experience:
“Through the agency’s real-time monitoring platform, we received weekly fetal heart rate monitoring curves and ultrasound images, and even participated in online nutritional counseling sessions; this seamless collaboration far exceeded expectations.”
Phase 4: Labor and Delivery and Legal Entitlement
December 2025: birth of a baby boy and transfer of parental rights
NATURAL DELIVERY: Ainur went into labor naturally at 39 weeks gestation, delivering a healthy baby boy weighing 3.2kg with an Apgar score of 9.9.
Legal documents are processed:
DNA test: Paternity test completed within 24 hours of birth, confirming Mr. and Mrs. Carmen as biological parents.
Birth certificate: Birth certificate issued by the Ministry of Justice of Georgia with the couple’s names on it, with an additional Hague certification (Apostille) to ensure validity in EU member states.
Compensation for surrogate motherhood: final payment of 26,000 euros according to the contract, plus an additional 2,000 euros in medical benefits for the management of gestational diabetes.
Stage 5: Settlement in the home country and long term follow up
January-February 2026: the start of cross-country parenthood
Health care: the organization arranges for a pediatric nurse to accompany the flight and carries a newborn monitor to deal with the risks of long-distance flights.
Household registration: With a Georgian birth certificate and a travel permit issued by the Spanish Consulate in Tbilisi, the baby boy is registered at Barcelona’s City Hall in 21 working days.
Surrogate mother relationship: Ainur signed a confidentiality agreement, but offered to receive annual photos of the child’s growth, “to see him grow up healthy, my mission is accomplished”.
Case Summary: Core Competencies of Surrogacy in Georgia
Legal non-controversy: the mechanism of confirming paternity rights beforehand completely avoids the legal disputes common in EU countries.
Medical precision: Single embryo transfer strategy and gender screening technology to increase the live birth rate of male embryos to 72%.
Efficiency in cross-border collaboration: Bilingual English/Spanish medical team, EU-standard laboratories and digital management platform reduce cultural barriers.
Mr. and Mrs. Carmen’s case is a testament to the core value of Georgia’s surrogacy services – systematic compliance with reproductive uncertainty. For international clients limited by local legal or medical bottlenecks, this “legal-medical-ethical” trinity of solutions is reshaping the way modern families are built.
Georgia Surrogacy Services,Legal IVF Hospital,Global Fertility Agency