Surrogate Selection Criteria

What is the process of selection of surrogate for a couple?

Surrogates are selected via surrogacy agencies. These agencies employ agents who search for potential surrogate mothers and counsel them about the process of surrogacy. These agencies screen the family background of the surrogate mother and make sure there is no criminal history. A medical social worker (MSW) is appointed for each surrogate. This MSW acts as a chaperone to the surrogate and provides support and guidance to the surrogate through the surrogacy process.

What is the background of surrogates?

Surrogates are from middle class families, they enter into surrogacy arrangement for the financialsupport of the family. Their height is between 5 feet to 5 feet 2 inches. Their color is wheatish. Education level is mostly under matriculation.

What are the basic criteria that qualify a person for surrogate selection?

  1. Surrogate should be between the ages of 25-35 years.
  2. Surrogate should be married and provide marriage certificate as proof.
  3. Surrogate should provide valid ID and address proof of herself and her husband/ guardian.
  4. Husband’s consent is necessary.
  5. The surrogate should have had at least two biological children from her marriage.
  6. The surrogate cannot have more than 4 children including her biological children and children born through surrogacy.
  7. If husband has passed away, death certificate is necessary. Also consent of guardian is necessary.
  8. A prospective surrogate mother must be tested for HIV and shown to be seronegative for this virus just before embryo transfer.

Known surrogate:

A relative, a known person, as may act as a surrogate other for the couple. In the case of arelative acting as a surrogate, the relative should belong to the same generation as the women desiring the surrogate.

What are the medical examinations that are to be conducted as per ICMR’s stipulations?

All medical examinations are conducted as per advice of ICMR (Indian Council of MedicalResearch). The following investigations are carried out:

  1. Blood group and Rh status
  2. Complete blood picture
    1. Hb
    2. Total RBC count
    3. Total WBC count
    4. Differential WBC count
    5. Platelet count
    6. Peripheral smear
  3. Random blood sugar
  4. Blood urea / Serum creatinine
  5. SGPT
  6. Routine urine examination
  7. HBsAg status
  8. Hepatitis C status
  9. HIV status (qualitative)
  10. Hemoglobin A2 (for thallasemia) status
  11. HIV PCR (1):
    1. Surrogate
    2. Spouse
  12. Screening for uterine fitness:
    1. USG lower abdomen TVS
    2. HSG
    3. Hysteroscopy
    1. Height
    2. Weight
    3. Pulse
    4. Blood pressure
    5. Temperature
    6. Respiratory system
    7. Cardiovascular system
    8. Per abdominal examination
    9. Per speculum examination
    10. Per vaginal examination
  14. Per vaginal examination

14. Any other special tests (2)


(1) To be carried out within 15 days prior to embryo transfer. Test no.11 to be done only if Test 9 is negative.
(2) Any additional test carried out on the basis of the history and examination of the surrogate OR any test.