Surrogacy Market Trends for LGBTQ+ Couples: Report 2025

The global surrogacy market is witnessing significant growth, driven by increasing infertility rates, evolving societal norms, and advancements in assisted reproductive technologies (ART). In 2024, the market was valued at USD 194.0 million and is projected to reach USD 321.4 million by 2033, exhibiting a compound annual growth rate (CAGR) of 5.48% during the forecast period. Factors such as the rise in fertility tourism, the affordability of surrogacy services, and supportive legal frameworks across various countries are contributing to this upward trend.

Study Assumption Years

• Base Year: 2024
• Historical Years: 2019–2024
• Forecast Years: 2025–2033 

Surrogacy Market Key Takeaways

• Market Size & Growth: The surrogacy market is projected to grow from USD 194.0 million in 2024 to USD 321.4 million by 2033, reflecting a CAGR of 5.48% during the forecast period.
• Dominant Region: North America leads the market due to supportive legal frameworks and advanced fertility treatment centres.
• Type Preference: Gestational surrogacy is preferred over traditional surrogacy due to legal and ethical considerations.
• Technological Advancements: IVF with ICSI is the most widely used technology in surrogacy procedures.
• Service Provider Trends: Fertility clinics are the primary service providers, offering comprehensive reproductive services.
• Legal Developments: Increasingly clear and supportive legal environments in various countries are facilitating market growth.
• Social Acceptance: Growing societal acceptance of surrogacy, including among LGBTQ+ couples, is contributing to market expansion.

Market Growth Factors

The surrogacy market size expansion is influenced by several key factors:

1- Rising Infertility Rates Worldwide

Infertility affects millions globally due to lifestyle changes, delayed childbearing, and health issues such as PCOS and endometriosis. The increasing number of couples seeking alternative reproductive methods has fueled demand for surrogacy. Lifestyle stress, environmental pollution, obesity, and other chronic health conditions contribute significantly to infertility. In developed and emerging markets alike, couples are more open to medical assistance for conception. This factor is particularly prominent in urban regions, where awareness and financial ability to opt for surrogacy are higher. Clinics offering assisted reproductive technologies (ART) are expanding services to meet this demand. As infertility cases rise, the surrogacy market benefits directly, with more intended parents turning to gestational or traditional surrogacy as a solution for family building.

2 – Delayed Parenthood Trends

Many individuals and couples are postponing parenthood to focus on careers, education, and financial stability. This delay often coincides with a natural decline in fertility, especially for women in their late 30s and 40s, leading them to explore surrogacy as an option. Social and economic factors, including urban living costs and professional priorities, contribute to this shift. The result is a growing pool of intended parents who need assistance in conceiving, particularly through gestational surrogacy, where their genetic material can be used. Fertility clinics adapt to this trend by offering comprehensive ART packages that include egg or sperm preservation, IVF, and surrogacy arrangements. Delayed childbearing is no longer seen as an obstacle but as a manageable step in modern family planning strategies.

3 – Advances in Assisted Reproductive Technology (ART)

Breakthroughs in IVF, genetic screening, and embryo freezing have made surrogacy more successful and accessible. Preimplantation genetic testing (PGT) helps ensure healthy embryos, increasing success rates for intended parents. Improved hormonal treatments and egg retrieval techniques make the process more efficient and less physically taxing on egg donors and intended mothers. Cryopreservation now allows for embryo storage and transport across borders, enabling international surrogacy arrangements. As technology reduces failure rates and medical risks, more couples and individuals gain confidence in pursuing surrogacy. Clinics invest heavily in the latest equipment and procedures, marketing their technological capabilities as a competitive advantage. These advancements not only improve outcomes but also expand the market’s reach to those previously discouraged by lower success rates.

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Market Segmentation

By Type

• Gestational Surrogacy: In this arrangement, the surrogate carries a child conceived through IVF using the intended parents’ or donors’ gametes, ensuring no genetic link between the surrogate and the child.
• Traditional Surrogacy: Here, the surrogate’s own egg is fertilized, making her the biological mother of the child she carries.

By Technology

• IVF with ICSI: This technique involves injecting a single sperm directly into an egg, commonly used in cases of male infertility.
• IVF without ICSI: Standard IVF procedure where eggs and sperm are combined in a lab dish to allow fertilization.
• Intrauterine Insemination (IUI): A fertility treatment that involves placing sperm directly into a woman’s uterus to facilitate fertilization.

By Service Provider

• Hospitals: Medical institutions offering a range of fertility treatments, including surrogacy services.
• Fertility Clinics: Specialized centers focusing on reproductive health and providing comprehensive surrogacy solutions.
• Others: Includes independent surrogacy agencies and consultants offering various support services.

Breakup by Region

• North America (United States, Canada)
• Asia Pacific (China, Japan, India, South Korea, Australia, Indonesia, Others)
• Europe (Germany, France, United Kingdom, Italy, Spain, Russia, Others)
• Latin America (Brazil, Mexico, Others)
• Middle East and Africa

Regional Insights

North America dominates the surrogacy market, primarily due to its advanced healthcare infrastructure, favorable legal frameworks, and high awareness levels. The United States has well-established surrogacy laws in several states, attracting both domestic and international intended parents seeking reliable and legally secure surrogacy arrangements.

Recent Developments & News

In January 2025, the Supreme Court of India announced its decision to review age restrictions stipulated in the country’s surrogacy legislation. The hearing, scheduled for February 11, aims to address concerns regarding the eligibility criteria for intended parents and surrogate mothers. The court emphasized the need for a comprehensive database to prevent the repeated use of the same surrogate and to safeguard against potential exploitation, highlighting the importance of regulatory oversight in the surrogacy process.

Key Players

Bourn Hall Clinic, CARE Fertility, Circle Surrogacy & Egg Donation, Extraordinary Conceptions, Growing Generations LLC, Houston Fertility Center, IVIRMA Global, Max Healthcare, New Hope Fertility Center, Nova IVF, Ovation Fertility, Scanfert Clinic etc.

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