What a Full-Service Agency Actually Does
A reputable full-service surrogacy agency recruits and pre-screens surrogates, manages the matching process, coordinates communication between all parties, oversees case management throughout the journey, handles crises if they arise, and maintains relationships with reproductive attorneys, fertility clinics, and escrow providers. Agencies do not provide legal advice and should not draft your GCA.
9 Questions to Ask Every Agency
- How many journeys do you manage per year, and how many have you completed? Experience matters. Ask for specific numbers, not vague claims.
- What does your fee cover — exactly? Get a complete itemized breakdown in writing. Agency fees typically range from $25,000–$50,000; know exactly what's included and what triggers additional fees.
- How many surrogates are currently in your active pool? A larger active pool means faster matching.
- What is your average time to match? Benchmark against industry averages (1–4 months). Be skeptical of agencies claiming unusually fast timelines.
- Do you use an independent escrow company? The escrow company should be completely independent from the agency. An agency managing its own escrow is a red flag.
- What happens if my surrogate needs to withdraw? Understand their rematch policy and what, if any, additional fees apply.
- Can I speak with past intended parents? A reputable agency will connect you with references. Take them up on it.
- Which reproductive attorneys do you work with, and in which states? Verify that their legal partners are licensed in your intended delivery state.
- Are you accredited or a member of any professional organizations? Look for membership in RESOLVE or similar fertility/adoption professional associations.
Red Flags
Be cautious of agencies that: pressure you to sign quickly, refuse to provide references, manage their own escrow accounts, give vague answers about fees, guarantee matching timelines, or are not transparent about how surrogates are compensated.
Interview at least two agencies before choosing. The quality of the relationship you build with your case manager matters as much as the agency's track record.