Surrogacy is a medical program that uses assisted reproductive technology (ART) to help fulfill the desire for parenthood in groups unable to have children naturally. Surrogacy is categorized into two types based on the source of the embryos:
Complete Surrogacy (Gestational): The surrogate mother only provides the uterus and the embryos are formed by in vitro fertilization of sperm and eggs from the commissioner or donor, and are not genetically linked to the baby.
Genetic surrogacy (phased out): the surrogate mother also provides the eggs, banned by the global mainstream market due to ethical controversies.
Georgia has legalized commercial surrogacy since 1997, with full surrogacy as the dominant model, and the law makes it clear that the commissioning parent is the legal guardian from the time of embryo transfer, ensuring that there is no dispute over paternity.
Core Motivation:
Legal inclusiveness: married heterosexual couples, singles and the LGBTQ+ community are allowed to form families through surrogacy, and birth certificates are directly labeled with the name of the commissioning parent.
Medical cost-effectiveness: a single cycle costs about $40,000-$80,000, only 1/3 of the cost in the U.S., covering medical, legal and living subsidies.
Technical maturity: using third generation IVF technology (PGT-A), the accuracy of embryo chromosome screening is over 99%, and the live birth rate reaches 65%-70%.
Applicable groups:
Infertile couples, senior women, hysterectomized people, families at risk of genetic diseases and LGBTQ+ community.
Guarantees for the commissioning party:
Legal transparency: the surrogacy contract is notarized by the Ministry of Justice, which specifies the ownership of embryos, compensation and breach of contract clauses.
Full process support: from medical matching to newborn’s passport processing, the professional team provides multi-language services to solve the transnational cultural differences.
Support for surrogate mothers:
Economic incentives: average income of 8,000 euros (about $85,000), far exceeding the salary of ordinary local professions.
Health management: free maternity checkups, labor and delivery care and postpartum rehabilitation, reducing the risk of pregnancy complications.
Average cycle: 12-18 months, refined in three stages:
Legal and medical preparation (2-3 months):
Sign the tripartite notarized agreement, complete the surrogate mother’s medical examination and legal filing.
The commissioning party completes sperm and egg extraction or selection for donation, and the laboratory cultivates embryos and performs PGT-A screening.
Gestational management (9-10 months):
The surrogate mother stays in a centrally managed apartment and receives a customized high-protein diet and daily health monitoring by a nutritionist.
Regular maternity checkups include NT screening, macrosomal ultrasound and fetal heart monitoring to ensure fetal development is up to standard.
Delivery and Legal Handover (1-2 months):
After the birth of the newborn, the organization assists in obtaining DNA paternity test, birth certificate and international travel documents.
The Georgian organization implements a three-dimensional “medical-living-psychological” management of surrogate mothers:
Standardized residence: apartments equipped with 24-hour medical supervision to avoid external interference.
Nutritional science: daily intake of 120g of protein, low GI carbohydrates and essential vitamins to prevent gestational diabetes.
Health dataization: real-time monitoring of blood pressure, blood sugar and frequency of fetal movement through smart wearable devices, with data synchronized to the commission.
Psychological support: psychological counseling twice a month to relieve mother and baby separation anxiety and strengthen the sense of responsibility.
Core technology highlights:
Embryo vitrification freezing: adopting Vitrification technology, the survival rate of embryo recovery is over 95%.
Microstimulation Ovulation Program: Reduce the risk of Ovarian Hyperstimulation Syndrome (OHSS) and improve the safety of egg retrieval.
Fertility support for HIV patients: Ensure healthy babies through viral load control, spermatogonial cleansing and drug blockade.
Success rate comparison:
68% live birth rate in a single cycle for women under 35 years old and up to 55% through egg donation in the group over 40 years old.
7 Legal framework of surrogacy in Georgia
Core Statute:
Article 143 of the Civil Code: the commissioning parent is the legal guardian from the time of embryo transfer and the surrogate mother has no right to claim paternity.
Law on Protection of Citizens’ Health: commercial surrogacy is permitted, surrogate mothers are limited to 21-35 years of age and need to have a history of at least one successful birth.
Dispute Resolution Mechanisms:
Contractual disputes are under the exclusive jurisdiction of the Tbilisi Family Court, and the Ministry of Justice has established the Assisted Reproduction Arbitration Committee to handle transnational disputes expeditiously.
Step 1: Medical and legal evaluation (1 month)
The commissioning party submits a fertility test report, and the agency matches a surrogate mother who meets the requirements of BMI ≤ 30 and has no history of genetic disease.
The lawyer drafts a tripartite agreement, clarifying medical expenses, compensation and terms of termination of unplanned pregnancy.
Step 2: Embryo cultivation and transfer (2-4 months)
Single sperm cytoplasmic injection is completed using ICSI technology, embryos are cultured to day 5 blastocyst stage and PGT-A screening is performed.
The surrogate mother receives combined estrogen + progesterone therapy to optimize the endometrium and painlessly transfers 1-2 quality embryos.
Step 3: Pregnancy maintenance and delivery (9-10 months)
The surrogate mother receives weekly monitoring of HCG blood values, and mid-pregnancy amniocentesis is performed to rule out chromosomal abnormalities.
Cesarean section is operated by a team of obstetricians, and the client can participate in the whole delivery process by video.
Step 4: Transnational legal document processing (1-2 months)
After the birth certificate is certified by the Ministry of Justice, it is submitted to the Chinese Embassy for a travel permit to ensure that the baby leaves the country legally.
Conclusion
With open legal policies, cost-effective medical solutions and specialized surrogacy management, Georgia has become a preferred destination for families around the world to fulfill their fertility wishes. The country’s surrogacy services offer customized solutions for both complex infertility cases and transnational legal adaptation needs. For prospective clients, it is recommended to choose a compliant agency such as ReproArt and Innova to ensure full process compliance and security.
Georgia Surrogacy Services,Legal IVF Hospital,Global Fertility Agency