Surrogacy is a significant step, and choosing the right agency makes all the difference. At Royal Surrogacy we provide expert guidance, clear communication and personalized support from your first consultation until the moment you welcome your baby.
| Step | What happens | Typical time |
|---|---|---|
| 1. Initial consultation | Video call to plan your journey | 30–60 minutes |
| 2. IVF | Clinic selection and embryo creation | Varies |
| 3. Surrogate screening | Medical, psychological and background checks | 2–4 weeks |
| 4. Matching | Video introductions, retainer signed | 2 weeks to 6 months |
| 5. Medical clearance | Surrogate evaluated at your IVF clinic | 4–6 weeks |
| 6. Legal clearance | Gestational Surrogacy Agreement signed | 2–4 weeks |
| 7. Embryo transfer | Medication protocol, then transfer | 4–6 weeks |
| 8. Pregnancy | Updates from Royal, parentage order from week 20 | About 40 weeks |
| 9. Welcoming your baby | Birth, documents, travel home | After birth |
1. Initial consultation
Start with a tailored 30 or 60-minute video consultation. We discuss your fertility goals, design a customized surrogacy plan, walk you through our services and answer your questions.
2. IVF
If embryos haven’t yet been created, our IVF Management Program helps you select a top fertility clinic and guides you through every step. We stay involved to keep the experience seamless.
3. Surrogate screening
Our screening meets the standards set by your IVF clinic. Every potential surrogate completes medical evaluations, psychological assessments, background checks and the other required steps before you meet her.
4. Matching with your surrogate
You meet potential surrogates by video call. Once you and a surrogate agree to match, you sign a retainer agreement with us and the surrogacy process officially begins. Read more about how matching works.
5. Medical clearance
Your surrogate completes a full medical evaluation at your IVF clinic. We coordinate test scheduling and travel to confirm she is ready for embryo transfer.
6. Legal clearance
We guide you through the Gestational Surrogacy Agreement and help you choose a qualified reproductive attorney. Both parties review and sign the contract before any medication begins. See how surrogacy contracts work.
7. Embryo transfer
Over 4 to 6 weeks, your surrogate follows a medication protocol to prepare for the transfer. We manage logistics, appointments and travel.
8. Pregnancy
About 1 to 2 weeks after the transfer, a pregnancy test confirms the result, followed by an ultrasound to detect the heartbeat. After the first trimester your surrogate continues care with her OB. We send regular updates on her and the baby’s health. By week 20 we begin the legal steps for your parental rights, and as week 35 approaches we help you prepare for the birth.
9. Welcoming your baby
After the birth we help you obtain essential post-birth documents, which matters most for international parents, and arrange travel home with your newborn.

