PUBLISHER: The Insight Partners | PRODUCT CODE: 2070329
PUBLISHER: The Insight Partners | PRODUCT CODE: 2070329
The Surrogacy Market is anticipated to grow from US$ 5.38 billion in 2025 and is projected to reach US$ 11.94 billion by 2034; it is expected to register a CAGR of 9.3% during 2026-2034.
The surrogacy market growth is attributed to rising medical infertility and health-related barriers to pregnancy, surging legal and regulatory reforms providing parentage certainty, and growing societal acceptance of diverse family structures.
The surrogacy market refers to the services, technologies, and support systems that facilitate surrogacy arrangements, where a surrogate carries a pregnancy on behalf of intended parents. It includes fertility clinics, surrogacy agencies, donor programs, legal and counseling services, and associated medical and administrative support. The surrogacy market serves individuals, couples, and families seeking alternative reproductive solutions, owing to infertility, delayed parenthood, same-sex parenthood, and advancements in assisted reproductive technologies.
The surrogacy market in North America is segmented into the US, Canada, and Mexico. North America is leading the surrogacy market, shaped by differing legal frameworks that accommodate commercial, altruistic, and grey-area arrangements while serving parents. While gestational surrogacy is widely varied across North America, with a variety of legal and medical aspects making it attractive to both domestic and international intended parents, the US has become a leader in commercial surrogacy, particularly in California, due in part to enforced pre-birth parentage orders that establish legal parentage for intended parents before their children are even born, regardless of the marital status or sexual orientation of the intended parents. In 2023, the Society for Assisted Reproductive Technology (SART) reported a total of 11,515 gestational carrier cycles, with a large percentage of international involvement; the number of gestational carrier cycles by non-U.S. residents was much higher compared with the number of cycles by US residents.
Canada has an altruistic framework for surrogacy defined by the Assisted Human Reproduction Act, which prohibits compensation beyond the reimbursement of out-of-pocket expenses. However, as more provincial legislative reforms, such as in Quebec, have clarified what constitutes a surrogacy agreement and defined the legal steps a surrogate must take to relinquish her parental rights, the demand for surrogacy is growing. There is no single federal law for assisted reproductive technology in Mexico; court cases and regional law govern surrogacy. Intended parents must still often use the judicial process to establish legal parentage through the process of registering at the Registry of Civil Status, which results in a long delay before intended parents receive documentation regarding parentage and therefore their citizenship.
Acceleration of Legal Harmonization and Regulatory Reforms to Increase Domestic Utilization to Provide Market Opportunities in Future
An increase in cross-border disputes related to Surrogacy is bringing legal harmonisation initiatives in Europe and beyond to assist in providing assurance over parental rights and reducing the prevalence of reproductive tourism. With these initiatives being supported by the EU through a proposed regulation concerning jurisdiction and the recognition of parentage, the aim is to create an automatic recognition of those parental rights established in one EU member state by every other member state of the EU. The goal is to eliminate the fragmentation that presently encourages intended parents to undertake surrogacy outside of their home country. At the international level, the Hague Conference on Private International Law is developing a standardised approach to the recognition of parentage as a means to protect the child's right to identity and being part of a family unit and to establish internationally consistent guidelines for all jurisdictions.
There are many countries also implementing legislative changes in relation to Surrogacy. For instance, Denmark passed legislation in 2025 regulating both domestic and international Surrogacy, which included stricter standards of protection for all parties involved. The UK Law Commission has proposed the establishment of a new process through which intended parents would attain a legal parentage at the time of birth as long as the pre-conception requirements are satisfied, however, as of yet, the legislation has stalled in Parliament despite lobbying efforts from interested parties. In the United States, revisions are taking place within the Uniform Parentage Act as an effort to bring state uniformity to the law as well as to provide more accessible and equitable options for families that are different than traditional nuclear families. Collectively, these legislative efforts are creating predictable paths to legal recognition at the domestic level thereby reducing the need for international surrogacy arrangements, increasing standards of ethics and protections to children as well as the intended parents in all jurisdictions worldwide.
The American Society for Reproductive Medicine (ASRM), Society for Assisted Reproductive Technology (SART), European Society of Human Reproduction and Embryology (ESHRE), Human Fertilisation and Embryology Authority, Hague Conference on Private International Law are among the primary and secondary sources referred to while preparing the surrogacy market report.