Requirements

To qualify as a Royal surrogate, you must meet the following criteria:

- Have had at least one full-term, healthy pregnancy with no complications and provide documented medical records.

- Be currently raising at least one child.

- Be between 21 and 36 years old.

- Maintain a healthy height-to-weight ratio, with a BMI no higher than 31.

- Be a U.S. citizen or legal permanent resident, with valid documentation for at least two years.

- Possess a valid driver’s license.

- Live in a surrogacy-friendly U.S. state (we do not currently accept surrogates from Michigan, Louisiana, Nebraska, or outside the U.S.).

- Be a non-smoker in excellent health.

- Have no history of alcohol or substance abuse.

- Have a strong support system, including support from a spouse or partner if applicable.

- Be willing to undergo a criminal background check (if married, your spouse must also agree).

- Be open to traveling to fertility clinics for the IVF process.

Our screening process helps us and our partner IVF clinics determine if a woman might be at high risk during pregnancy, which could pose risks to both her and the baby. However, being disqualified doesn’t mean it’s the end of your surrogacy journey—many factors can change over time with effort and patience, except for age.

At the start of the screening, you’ll speak with a surrogate consultant who will ask about your pregnancy history and reasons for wanting to be a surrogate. This conversation helps assess whether you are emotionally prepared for the journey. They will also ask about your current emotional state and how you felt during and after your previous pregnancies.

- **Depression:** If you’re currently on antidepressants or have been diagnosed with depression, you’ll be disqualified. Pregnancy could trigger a relapse of depression, posing risks to both you and the baby.

Medical history plays a significant role in the surrogate screening process. While all aspects of the screening are important, certain health conditions may disqualify you or require further evaluation:

- **Polycystic Ovary Syndrome (PCOS):** Women with PCOS are not eligible to be surrogates due to an increased risk of complications such as gestational diabetes and preeclampsia.

- **Preeclampsia:** If you’ve had preeclampsia in a previous pregnancy, you are likely to develop it again, making surrogacy unsafe for both you and the baby.

- **Gestational Diabetes:** This condition may not automatically disqualify you if it was managed through diet. Cases controlled without medication may still be considered.

- **Endometriosis:** This condition can complicate pregnancy and increase the risk of miscarriage, leading to disqualification.

- **No Uterus:** Without a uterus, surrogacy isn’t possible, though you may still qualify as an egg donor.

Additional health factors that could disqualify you include:

- More than two C-sections

- Cancer

- Pre-term births

- Lupus

- Hepatitis C

- HIV positive

- Essure procedure

- Post-menopause

- Diabetes

- Sickle cell

Surrogacy is both a rewarding and responsible endeavor. Above all, the health of the surrogate mother is paramount to ensuring a safe and healthy pregnancy for herself, the baby, and the intended parents. To learn more about becoming a surrogate, contact Royal Surrogacy & Egg Donation.