What is a Gestational Surrogate? A Clear Guide for First-Time Surrogates

If you’re exploring the world of surrogacy, you’ve likely come across the term gestational surrogate. But what does it really mean, and how is it different from other types of surrogacy?

In this guide, we’ll break down what a gestational surrogate is, how the process works, and why it’s one of the most trusted and widely used paths in modern family building.

What Is a Gestational Surrogate?

A gestational surrogate is a woman who carries a pregnancy for someone else using an embryo that is not genetically related to her. This means the surrogate has no biological connection to the baby she is carrying.

This is different from traditional surrogacy, where the surrogate uses her own egg and is biologically related to the child. Traditional surrogacy is extremely rare and not supported by most agencies due to the emotional and legal complexities involved.

At Elevate, all surrogacy journeys involve gestational surrogates only, ensuring clear legal boundaries and emotional clarity for everyone involved.

How Does Gestational Surrogacy Work?

Gestational surrogacy begins with an embryo that is created through in vitro fertilization (IVF). This embryo is made using either the intended parents’ eggs and sperm or through the use of donor gametes. Once the embryo is ready, it is transferred to the gestational surrogate, who will carry the pregnancy to term.

Here’s a simplified version of the process:

1. Application and Screening: The surrogate applies through a reputable agency and completes a thorough medical, psychological, and lifestyle screening.
2. Matching: She is thoughtfully matched with intended parents who align with her values, preferences, and communication style.
3. Legal Agreements: Clear contracts are established to protect the rights of both the surrogate and the intended parents.
4. Embryo Transfer and Pregnancy: A fertility clinic handles the embryo transfer. Once pregnancy is confirmed, the surrogate is cared for by an OB and supported by the agency throughout the journey.
5. Delivery and Transition: The intended parents are present for the birth, immediately stepping into their new role as parents, while the surrogate has the opportunity to reflect, recover, and celebrate the profound impact she has made.

Gestational surrogates receive financial compensation, dedicated support, and personalized guidance throughout the process.

Who Uses a Gestational Surrogate and Why?

Gestational surrogacy is a powerful option for a wide range of intended parents, including:

• Individuals or couples experiencing infertility
• Cancer survivors or those with medical conditions that prevent pregnancy
• LGBTQ+ couples and individuals
• Single parents who are ready to grow their family

Why Do Women Choose to Become Gestational Surrogates?

For many gestational surrogates, the decision to carry a child for someone else is one of the most meaningful experiences of their lives. Their reasons are often deeply personal and incredibly generous.

Common motivations include:

• Wanting to help others experience the joy of parenthood
• Having had smooth, uncomplicated pregnancies of their own
• Feeling called to do something impactful and life-changing
• Wanting to leave a legacy of love and generosity
• Wanting to help another family while using the compensation to support her own

Gestational surrogates are often compassionate, grounded, and self-aware individuals. They’re supported by their families, emotionally ready, and eager to walk alongside others in a journey that’s full of meaning.

What Makes Elevate’s Approach to Gestational Surrogacy Different?

At Elevate, we believe that a gestational surrogacy journey should be built on trust, care, and genuine connection, not just logistics.

Here’s what sets our approach apart:

• Intentional Matching – We go beyond medical criteria. We match based on shared values, communication preferences, and emotional compatibility.
• Ongoing Emotional Support – Surrogates receive regular check-ins, access to mental health resources, support groups, and a team that truly sees them.
• Ethical, Personalized Process – Every part of the journey—from screening to delivery—is handled with compassion and transparency.
• Celebration of All Families – We proudly support LGBTQ+ parents, single parents, and families of all kinds.

Our surrogates aren’t just participants in a process. They’re partners in a life-changing experience, and we’re honored to support them every step of the way.

Final Thoughts: Gestational Surrogacy Is Built on Care and Connection

Gestational surrogacy isn’t just a medical process. It’s a relationship. It’s a leap of trust. It’s one of the most generous things a person can do.

If you’re exploring the idea of becoming a gestational surrogate, we’re here to walk with you.

Learn more about becoming a surrogate and how to take the next step.