Initial planning for surrogacy in the US
Starting a process of surrogacy in the US requires careful preparation, particularly when intended parents reside outside the United States. Before moving forward with any medical phase, it is essential to understand the applicable legal framework, the structure of the program and the administrative requirements involved in this journey.
From the very beginning, at Medtravelco we organize each preliminary stage so that intended parents have a clear overview of the process. We assess each individual situation, resolve initial questions and coordinate the first meetings with our collaborating agency in the United States. This phase allows expectations to be aligned, required documentation to be reviewed and the path forward to be prepared with legal clarity.
In certain states, legislation provides mechanisms that allow agreements to be structured clearly. However, every case requires individualized analysis. For this reason, we guide intended parents through the review of contractual aspects, estimated timelines and financial planning, ensuring that decisions are made in a structured and well-informed manner.
In surrogacy in the US, solid preparation makes the difference between an improvised approach and a well-organized program. Our role is to structure each step before the program progresses to the next phase.
Medical and legal coordination during surrogacy in the US
Once the active phase begins, coordination becomes the central element of the program. Surrogacy in the US involves fertility clinics, legal professionals and specialists responsible for evaluating the gestational carrier.
At Medtravelco, we coordinate communication between all parties to ensure that each stage develops in an organized way. Accredited clinics are responsible for medical care and clinical decisions, while we structure the overall timeline, organize documentation and facilitate communication between intended parents and the professionals involved.
During this stage, we coordinate together with our collaborating agency the necessary medical and psychological evaluations, as well as the legal agreements between the parties. In addition, we assist in structuring the opening of the escrow or trust account, which allows payments to be organized in a transparent and planned manner throughout the program.
Around week 24 of pregnancy, the Parentage Establishment Order is processed. This step is essential so that the intended parents can be recognized as such on the birth certificate in accordance with the legislation of the relevant state. This legal milestone forms part of the previously organized timeline and is coordinated within the established program.
In surrogacy in the US, organization is not secondary; it is an essential component of the journey. Our work is to keep each phase aligned, providing clarity and ongoing follow-up throughout the process.
Travel organization and preparation for birth in surrogacy in the U
As the pregnancy progresses, preparing for travel to the United States becomes increasingly important. Surrogacy in the US requires the presence of the intended parents at the time of birth, which makes advance planning essential.
We guide intended parents on the recommended timing for their arrival, taking into account whether the pregnancy involves a single baby or multiples, as well as the suggested weeks for being present prior to delivery. This foresight reduces uncertainty and helps organize the stay with greater peace of mind.
We also coordinate the transition between the fertility clinic and the obstetrician responsible for prenatal follow-up, maintaining structured communication with our collaborating agency in the United States. This continuity ensures that the program moves forward smoothly and that intended parents remain informed at every stage.
Although each case has its own particularities, early organization helps ensure that the birth takes place within a previously structured framework. In surrogacy in the US, support during these final weeks plays a key role in maintaining stability and clarity.
Documentation and return after surrogacy in the US
After the birth, an administrative phase begins that requires precision and coordination. At this stage, the collaborating agency in the United States provides intended parents with detailed information on how to apply for the birth certificate, passport and Social Security card for the baby, in accordance with the procedures of the relevant state.
If they wish, a member of the Medtravelco team may accompany them to these appointments in order to assist with the documentation process and facilitate the organization of their return to their country of residence.
Throughout the entire process of surrogacy in the US, we maintain consistent coordination so that each phase — from the initial preparation to the return home — develops with structure and clarity. Our role is to sustain the organizational framework of the program, ensuring that intended parents receive accurate information and ongoing guidance at every step.
If you are considering starting this program, having specialized coordination can provide you with a defined structure, precise information and continuous support. At Medtravelco, we work to ensure that each stage is planned in an orderly manner, within the applicable legal framework and with the involvement of accredited professionals in the United States.
