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, 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’s expansion is influenced by several key factors:
Embryo and Egg Freezing through Vitrification Possible with Innovation in Surrogacy Market
Innovations in assisted reproductive technology (ART), like in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI), have really boosted the success rates of surrogacy. These advancements give us better control over the surrogacy journey, leading to more positive outcomes for both surrogate mothers and the intended parents. Plus, with technologies such as preimplantation genetic diagnosis (PGD) and preimplantation genetic screening (PGS), we can choose healthier embryos, which helps lower the risk of genetic disorders. On top of that, the ability to freeze embryos and eggs using vitrification has made the surrogacy timeline much more flexible, allowing intended parents to preserve their fertility and find the right surrogate when the time is right.
Rights and Legal Protection for Surrogate Mothers Impacting Surrogacy Market
The legal frameworks in various countries play a crucial role in the surrogacy market, influencing its clarity and protection. Countries that have set up clear laws around surrogacy arrangements have experienced a notable rise in demand for these services. These laws typically clarify the rights of both the surrogate mother and the intended parents, providing legal safeguards for everyone involved. In the United States, for example, surrogacy laws differ from state to state, with states like California and New York being particularly popular due to their supportive regulations. Similarly, nations like Ukraine, Georgia, and certain areas in India have become surrogacy hotspots, thanks to their relatively simple legal processes and lower costs compared to Western countries. This favourable legal landscape encourages intended parents from places where surrogacy is either banned or tightly controlled to seek services overseas, contributing to the global expansion of the surrogacy market.
Role of Fertility Clinics and Agencies in Rising Awareness & Social Acceptance of Surrogacy
The surrogacy market has really taken off lately, thanks to a growing awareness and a shift in social attitudes. Over the past ten years, conversations about infertility, LGBTQ+ rights, and diverse family structures have become much more mainstream, helping to break down the stigmas that once surrounded surrogacy. As more people learn about the ins and outs of the process, the legalities involved, and the emotional journey, surrogacy is becoming a genuine option for individuals and couples who struggle to conceive naturally. This trend is especially noticeable in countries where laws supporting surrogacy are in place, ensuring protection for both surrogate mothers and intended parents. Plus, when celebrities and public figures share their own surrogacy experiences, it helps to normalize the practice even further. These stories in the media have a powerful impact, encouraging others to view surrogacy as a valid way to create families. Fertility clinics and agencies are also stepping up by offering educational resources and counseling services to ease any worries, helping intended parents navigate the process, costs, and emotional aspects of surrogacy.
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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, in particular, 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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