Surrogate Selection & Matching
Who decides which surrogate is matched to our family?
The matching process is overseen by our lead IVF physician, whose responsibility is to ensure every surrogate entering the program meets strict clinical criteria before any introduction is made. About two weeks before the preparation cycle begins, your coordinator will send you a full surrogate dossier covering health records, personal background, photographs, and screening results so that the final decision rests with you. On rare occasions, medical developments during the preparation phase such as poor endometrial response, unexpected bleeding, or timing issues with the egg donor may require a change of surrogate. You will always be informed immediately, with a complete profile of the alternative candidate provided without delay.
What happens if our first transfer cycle does not result in pregnancy?
A single program enrollment covers up to three embryo transfer attempts within the agency fee. If cryopreserved embryos remain from your first cycle, the second transfer is arranged at a fixed preparation cost of approximately USD 3,200 no additional agency fee applies. If a new fresh cycle becomes necessary, the cost structure depends on your program tier, but the agency fee continues to be waived for any subsequent attempt within the three-cycle period. You pay only for the clinical and preparation costs directly incurred.
Treatment Pathways
How does a gestational surrogacy program with an egg donor work from start to finish?
After your initial inquiry, a scheduling consultation is arranged to align your availability with our treatment calendar. You are then given secure access to our egg donor database, where each profile includes full medical and genetic history, educational background, professional details, prior donation outcomes, and photographs. Once your selection is confirmed, identity verification is completed, the agreement is signed digitally, and your first program payment is processed. Donor screening is then completed in full before preparations begin. You will need to be present in Georgia for approximately five days around the egg retrieval the exact date is confirmed as the stimulation cycle progresses. Embryos are typically transferred on day three; blastocyst culture to day five is available by arrangement. A serum HCG test is done fourteen to sixteen days after transfer, with results issued the same day.
How is the surrogacy program structured when the intended mother provides her own eggs?
Intended mothers have two options. The first is to start ovarian stimulation at their local fertility clinic and travel to Georgia on stimulation day eight or nine, staying approximately six days for monitoring, trigger injection, and egg retrieval. The second is to complete the full stimulation protocol at our clinic in Tbilisi, which requires a stay of around seventeen days. In both cases, our physician must review your pre-cycle medical workup and confirm suitability before the program begins. If you are stimulating locally, detailed follicle monitoring reports are required on days five and eight; on day nine, our team takes over to finalize the trigger schedule and confirm the retrieval date.
What is involved in the IVF with egg donation program when the intended mother carries the pregnancy?
Once preferred dates are agreed and database access is granted, the intended mother selects an egg donor whose profile fits her preferences and medical considerations. A complete pre-treatment screening must then be reviewed by our IVF physician, who confirms eligibility before the contract is issued. After enrollment and the initial payment, the intended mother and donor are placed on a synchronized preparation protocol. The intended mother may complete endometrial preparation at a local clinic and travel to Georgia only for the embryo transfer, or she may choose to have the full preparation done with us.
How does the frozen embryo surrogacy program work?
Intended parents are responsible for coordinating the shipment of their frozen embryos to our laboratory. The originating clinic must provide a documentation package that includes embryo count, straw configuration, individual embryo grades, cryopreservation date, the freezing method used, and current infectious disease screening results for both partners. Once receipt is confirmed, contracts are signed and the initial payment is processed. Surrogate preparation begins immediately. The number of embryos to be transferred is agreed with you before the thaw cycle.
Pregnancy Care
What ongoing support is provided once pregnancy is confirmed?
From the moment a positive HCG result is confirmed, your case moves to a dedicated pregnancy coordinator. She is your main point of contact for the full term sending structured clinical updates, forwarding ultrasound images and reports at each milestone, and remaining available for any concerns you raise at any point. You are welcome to travel to Georgia during the pregnancy to visit your surrogate, and we will arrange whatever communication works best for your family video calls, written updates, or in-person meetings.
How is a pregnancy loss managed within the program?
A clinical pregnancy is formally recognized from the point at which a foetal heartbeat is confirmed via ultrasound. If the initial HCG result is positive but the first scan does not detect a heartbeat, this is not classified as a pregnancy loss the next transfer attempt proceeds at no additional agency cost, within the three-cycle coverage period. If cardiac activity has previously been confirmed and foetal development subsequently stops, this constitutes a clinical pregnancy loss. A new program enrollment is then required, and the applicable fee becomes payable. The surrogate's compensation at each defined stage of the pregnancy is set out in full in the signed agreement.
Donors, Travel & Logistics
Can the clinic guarantee how many eggs will be retrieved from the donor?
No clinic can guarantee a specific egg yield before retrieval follicular response to stimulation is a biological variable. What we can offer is an Antral Follicle Count ultrasound for your selected donor, performed before the cycle begins. This gives a clinically meaningful estimate of ovarian reserve and expected number of mature follicles. It is the most reliable indicator available at this stage, and our medical team will walk you through the findings and what they mean for your specific cycle and transfer plan.
How many times will we need to travel to Georgia for the full program?
For most intended parents, two visits are enough: one for sperm provision or egg retrieval, and one to travel home with your child. If being present during the fertilization phase is not possible, cryopreserved sperm samples can be shipped to our laboratory in advance. Families in the frozen embryo program also have the option of granting our staff a limited Power of Attorney, allowing our team to act on your behalf during the transfer cycle. Once the notarized and officially authenticated document is received, a single visit to Georgia to collect your baby is all that is needed.
Which nationalities can enter Georgia without a visa?
Citizens of all European Union member states, the United States, Canada, Australia, New Zealand, Japan, South Korea, Israel, Switzerland, Norway, Iceland, Liechtenstein, Andorra, San Marino, Singapore, Turkey, Iran, Kuwait, Qatar, Bahrain, the United Arab Emirates, Oman, and most CIS countries (excluding Russia) may enter Georgia without a visa for stays of up to 360 days. An entry permit is issued at the border no prior application required. Citizens of countries outside this list may obtain a visa through a Georgian Embassy or Consulate, or apply for one on arrival at an official air or land entry point.
Have a question
that's not covered here?
Our coordinators are available to speak with you directly by phone, video call, or message at a time that works for you.