Global Surrogacy Market Size, Trends by Type, Technology & Region Forecast 2025–2033

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 Drive Surrogacy Demand

Growing infertility due to lifestyle changes, delayed pregnancies, and health conditions is boosting demand for surrogacy services worldwide. Couples unable to conceive naturally are increasingly turning to assisted reproductive technologies (ART) like in-vitro fertilization (IVF) with surrogacy. This trend is particularly strong in urban regions where awareness and affordability are higher. Healthcare providers and fertility clinics are expanding services to meet this demand, while supportive legal frameworks in some countries further encourage adoption. As infertility cases continue to rise globally, the surrogacy market is expected to see sustained growth in the coming years.

2 - Technological Advancements in Assisted Reproduction

Modern reproductive technologies like IVF, ICSI, and genetic screening are improving surrogacy success rates. These innovations make the process safer, more efficient, and more affordable for intended parents. Clinics now use advanced embryo selection and cryopreservation techniques to enhance pregnancy outcomes. With growing investments in fertility research, the overall accessibility of surrogacy treatments has improved worldwide. Countries with strong medical infrastructure are attracting international clients seeking reliable and advanced surrogacy solutions, fueling global market expansion. The continued evolution of fertility technologies remains a key driver of surrogacy market growth.

3 - Medical Tourism Boosting Cross-Border Surrogacy

Affordable treatment options and high-quality medical care are driving international couples to seek surrogacy abroad. Countries such as India, Ukraine, and Georgia are popular destinations due to lower costs and advanced fertility technologies. Medical tourism agencies and fertility clinics are offering comprehensive packages that include medical, legal, and logistical support. This cross-border demand is expanding the global reach of the surrogacy market, creating revenue opportunities for healthcare providers and boosting international collaboration in assisted reproduction services.

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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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