Surrogacy Package Prices in Georgia: 20 Questions to Ask Before Comparing Offers

Why the headline price is only the beginning

A surrogacy programme is not one transaction. It is a sequence involving eligibility review, clinic work, surrogate recruitment and screening, contracts, embryo transfer, pregnancy monitoring, delivery and post-birth documentation. A proposal may bundle several of these stages or quote only the agency and clinic component. Another may include surrogate compensation but exclude medicines, delivery, translations or newborn documents. Unless the same categories are placed side by side, the lower figure may simply be the less complete figure.

Start by asking the provider to separate fixed programme fees, estimated third-party costs and event-dependent costs. Fixed fees should have a defined service and payment trigger. Estimated items should state the assumption behind the estimate. Event-dependent items should explain what circumstance activates them. This three-column approach is more informative than a promise that a package is “all inclusive.”

Questions 1–4: whose services are actually included?

• 1. Which legal entity signs the agreement? Identify the agency or coordinator, clinic, legal-services provider and any separate surrogate-management entity.
• 2. What work does the agency fee cover? Ask whether it includes case management, appointment coordination, records, translation support, surrogate communication and post-birth assistance.
• 3. Is the fertility clinic fee included or contracted separately? The answer affects payment rights, refunds and responsibility for clinical decisions.
• 4. Which professionals remain third parties? Notaries, laboratories, couriers, hospitals, translators, government authorities and embassies may charge independently.

A written offer should make the division of responsibility visible. Intended parents should know whom they instruct, whom they pay and who holds each record. This is particularly important in an international case because a single “programme” may be delivered by several organizations under different agreements.

Questions 5–8: what does the medical scope contain?

• 5. Does the package include IVF, ICSI or only frozen embryo transfer? These are different starting points with different medicines, laboratory work and timelines.
• 6. How many embryo-transfer attempts are included? Ask what counts as an attempt and whether cancellation before transfer uses an attempt.
• 7. Which medicines and tests are included? Separate intended-parent tests, surrogate preparation, pregnancy medicines, monitoring and additional specialist investigations.
• 8. Are optional treatment add-ons included automatically? Ask why each add-on is proposed, what evidence supports it for the individual case and whether declining it changes the price.

The UK fertility regulator HFEA describes treatment add-ons as optional, non-essential tests or treatments offered in addition to established fertility treatment and encourages patients to ask about evidence, suitability and itemised cost. That principle is useful internationally even though the HFEA does not regulate Georgian clinics: every additional medical item should have a clinical reason, price and consent process. Medical outcomes can never be purchased as a contractual certainty.

Questions 9–12: how is the surrogate pathway priced?

• 9. Is surrogate recruitment and screening included? Confirm medical, infectious-disease, obstetric, psychological and background review appropriate to the programme.
• 10. Is surrogate compensation included in the displayed total? If it is estimated, request the current compensation schedule and milestone dates.
• 11. What allowances are separate? Travel, accommodation, clothing, childcare, lost income, invasive procedures, multiple pregnancy or Caesarean delivery may be handled separately.
• 12. What happens if a candidate withdraws or is medically rejected? The agreement should explain replacement work, timing and any repeated screening costs.

Compensation is not the same as agency revenue or medical cost. It should be documented transparently, paid by agreed milestones and administered in a way that protects both intended parents and the surrogate mother. Ask whether funds are held in advance, who accounts for payments and what evidence of payment is provided.

Questions 13–16: what legal and post-birth work is included?

• 13. Does legal review begin before treatment? Identity, relationship status, biological-material records and clinic documentation should be checked before embryo transfer.
• 14. Which agreements are drafted and notarized? Ask about translations, Powers of Attorney, notarial work and copies for each party.
• 15. Is Georgian birth registration support included? Clarify who collects medical documents, arranges translations and submits or accompanies the file.
• 16. Does “embassy support” mean advice, document preparation or representation? An agency cannot control a foreign embassy’s nationality decision or passport timeline.

Georgia’s Public Service Development Agency publishes general birth-registration procedures, including the role of medical notification and requirements for foreign documents to be legalized or apostilled and translated where applicable. A surrogacy case requires its own assessed file. Intended parents should also obtain advice in their country of citizenship before committing to treatment, because Georgian registration and the child’s nationality or travel document are separate legal questions.

Questions 17–20: what can change the final total?

• 17. Which complications are outside the package? Hospital admission, miscarriage management, specialist care, premature birth, neonatal care and insurance require explicit treatment.
• 18. Which fees repeat after an unsuccessful transfer? Medicines, surrogate preparation, monitoring, thawing and clinic procedures may recur even when several FET attempts are described.
• 19. What are the payment triggers and refund rules? Link every instalment to a signed agreement, match, procedure, pregnancy milestone or delivered service.
• 20. How long is the price valid? Currency movements, provider tariffs and surrogate compensation can change. The proposal should have a date, validity period and change-control method.

No responsible provider can quote every possible medical event in advance. The goal is not to eliminate uncertainty but to identify it. A good agreement explains who decides, who must consent, what evidence is supplied and how an additional cost is approved before payment whenever advance approval is possible.

Build a comparison table that reflects the real journey

Create one row for each operational category: eligibility and doctor review; IVF or embryo acceptance; surrogate recruitment and screening; matching; legal agreements; one FET; repeated FET; pregnancy medicines and monitoring; delivery; complications; birth registration; translation and Apostille; embassy support; accommodation; and coordination. For every provider, mark the row as included, estimated, conditional or excluded. Add the payment stage and responsible organization.

Do not normalize vague language in your own mind. “Pregnancy care” may mean scheduling routine appointments, paying routine appointments, or both. “Legal support” may mean a template agreement or a complete file through birth registration. “Three transfers” may exclude medicines and surrogate re-preparation. Ask the provider to amend the written scope rather than relying on an explanation given only during a call.

A practical way to compare value, not just price

Price should be assessed together with responsiveness, document discipline, medical-provider quality, surrogate-care standards, legal coordination and the realism of the timeline. An expensive package is not automatically comprehensive, and a less expensive package is not automatically unsafe. The evidence is in the written allocation of work and risk.

Our programme services, costs and timeline guide explains the main cost categories, while the Georgia programme overview connects them to the available medical starting points. Request the current written offer for your circumstances rather than relying on a public price after your medical or legal facts have changed.

Sources and editorial note

This article was prepared by the IVF Surrogacy Georgia Editorial Team and reviewed for programme-scope accuracy in July 2026. General reference sources: HFEA: preparing for a clinic appointment and itemised costs; HFEA: treatment add-ons; and Georgia Public Service Development Agency: birth registration. This is general information, not a quotation, medical advice or legal advice.