Law Commission Report No. 228- Need for Legislation to Regulate Assisted Reproductive Technology Clinics as Well as Rights and Obligations of Parties to a Surrogacy

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    GOVERNMENT OF INDIA

    LAW

    COMMISSION

    OF

    INDIA

    NEED FOR LEGISLATION TO REGULATE ASSISTED

    REPRODUCTIVE TECHNOLOGY CLINICS AS WELL AS

    RIGHTS AND OBLIGATIONS OF PARTIES TO A

    SURROGACY

    Report No. 228

    AUGUST 200

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    LAW COMMISSION OF INDIA

    !REPORT NO. 228"

    NEED FOR LEGISLATION TO REGULATE ASSISTED

    REPRODUCTIVE TECHNOLOGY CLINICS AS WELL AS

    RIGHTS AND OBLIGATIONS OF PARTIES TO A

    SURROGACY

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    http://www.lawcommissionofindia.nic.in/http://www.lawcommissionofindia.nic.in/

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    D.O. No. 6(3)/157/2009-LC (LS) 5 August, 2009

    Dear Dr eera!!a "o#$% ,

    Su'&et Nee* +or Leg#s$at#o to regu$ate Ass#ste* e!ro*ut#eeo$og% C$##s as e$$ as #gts a* O'$#gat#oso+ art#es to a Surroga%

    a +orar*#g ere#t te 22t e!ort o+ te La Co#ss#oo+ *#a o te a'oe su'&et.

    2. e or$*s seo* a* *#as +#rst (# #tro +ert#$#8at#o) 'a'%,au!r#%a a$#as Durga as 'or # o$:ata o Oto'er 3, 197 a'out toots a+ter te or$*s +#rst 'o%, Lou#se ;o% ua$ !ote% #s !roe* a*te $#eage ot#ues. Soe autors !ut #t as +o$$os The parentsconstruct the child biologically, while the child constructs the parents

     socially.  e !ro'$e oeer ar#ses e te !arets are ua'$e toostrut te #$* troug te oet#oa$ '#o$og#a$ eas. +ert#$#t% #ssee as a a&or !ro'$e as :#s#! a* +a#$% t#es are *e!e*et o

     !roge%. ?ere# surroga% oes as a su!ree sa#our. 

    4. e $ega$ #ssues re$ate* #t surroga% are er% o!$e> a* ee*to 'e a**resse* '% a o!rees#e $eg#s$at#o. Surroga% #o$eso+$#t o+ ar#ous #terests a* as #sruta'$e #!at o te !r#ar% u#t

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    o+ so#et% #8. +a#$%. No-#teret#o o+ $a # t#s :ott% #ssue #$$ ot 'e !ro!er at a t#e e $a #s to at as ar*et *e+e*er o+ ua $#'ert%a* a #struet o+ *#str#'ut#o o+ !os#t#e et#t$eets. At te saet#e, !ro#'#t#o o ague ora$ grou*s #tout a !ro!er assesset o+so#a$ e*s a* !ur!oses # surroga% a sere ou$* 'e #rrat#oa$.At#e $eg#s$at#e #teret#o #s re@u#re* to +a#$#tate orret uses o+ tee teo$og% #.e. A a* re$#@u#s te oooe* a!!roa to$ega$#8at#o o+ surroga% a*o!te* #terto. e ee* o+ te our #s toa*o!t a !ragat# a!!roa '% $ega$#8#g a$tru#st# surroga%arrageets a* !ro#'#t oer#a$ oes.

    5. e su'&et as suo motu ta:e u! +or stu*%. "ost #!ortat !o#ts# regar* to te r#gts a* o'$#gat#os o+ te !art#es to a surroga% a*

    r#gts o+ te surrogate #$* te !ro!ose* $eg#s$at#o sou$* #$u*e ae 'ee g#e # t#s e!ort.

    #t ar regar*s,

    Bours s#ere$%,

    (Dr A. La:saa)

    Dr ". eera!!a "o#$%,#o "##ster o+ La a* ;ust#e,=oeret o+ *#a,Sastr#

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    NEED FOR LEGISLATION TO REGULATE ASSISTED

    REPRODUCTIVE TECHNOLOGY CLINICS AS WELL AS

    RIGHTS AND OBLIGATIONS OF PARTIES TO A

    SURROGACY

    Cotets   age Nos.

    . NODCON 9-16

    . ?E DA ASSSED EODCE 17-19EC?NOLO=B (E=LAON)

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    ots a+ter te or$*s +#rst 'o%, Lou#se ;o% ua$ !ote% #s !roe* a*

    te $#eage ot#ues. Soe autors !ut #t as +o$$os The parents

    construct the child biologically, while the child constructs the parents

     socially.  e !ro'$e oeer ar#ses e te !arets are ua'$e to

    ostrut te #$* troug te oet#oa$ '#o$og#a$ eas. +ert#$#t% #s

    see as a a&or !ro'$e as :#s#! a* +a#$% t#es are *e!e*et o

     !roge%. ?ere# surroga% oes as a su!ree sa#our.

    S#rro5,/1 : %e,)&)5

    1.3 e or* FsurrogateG as #ts or#g# # Lat# F surrogatusG, !ast

     !art##!$e o+ F surrogareG, ea#g a su'st#tute, tat #s, a !erso a!!o#te*

    to at # te !$ae o+ aoter. us a surrogate oter #s a oa o

     'ears a #$* o 'ea$+ o+ aoter oa, e#ter +ro er o egg or +ro

    te #!$atat#o # er o' o+ a +ert#$#8e* egg +ro oter oa.Aor*#g to te

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    a%. e e!ort o+ te Co#ttee o+ @u#r% #to ?ua ert#$#8at#o a*

    E'r%o$og% or te aro: e!ort (194) *e+#es surroga% as te

     !rat#e ere'% oe oa arr#es a #$* +or aoter #t te #tet#o

    tat te #$* sou$* 'e a*e* oer a+ter '#rt.

    1.4 e

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    I)'&, , repro'#/t&e to#r&*% 'e*t&),t&o)

    1.7 oer#a$ surroga% agreeets, te surrogate oter eters

    #to a agreeet #t te o#ss#o#g ou!$e or a s#g$e !aret to 'earte 'ur*e o+ !rega%. retur o+ er agree#g to arr% te ter o+ te

     !rega%, se #s !a#* '% te o#ss#o#g aget +or tat. e usua$ +ee

    #s arou* I25,000 to I30,000 # *#a # #s arou* 1/3r*  o+ tat #

    *ee$o!e* outr#es $#:e te SA. #s as a*e *#a a +aoura'$e

    *est#at#o +or +ore#g ou!$es o $oo: +or a ost-e++et#e treatet +or

    #+ert#$#t% a* a o$e 'ra o+ e*#a$ tour#s as +$our#se* o te

    surrogate !rat#e. A #*ustr% #s o a 25,000 rore ru!ee !ot o+ go$*.

    Aa*, a sa$$ to # =u&arat, as a@u#re* a *#st#t re!utat#o as a

     !$ae +or outsour#g oer#a$ surroga%. t sees tat o's # *#a

    are o ret # tras$ates #to 'a'#es +or +ore#gers a* *o$$ars +or *#a

    surrogate oters.

     

    Le5,; ,)' %or,; &**#e*

    1. e ora$ #ssues asso#ate* #t surroga% are !rett% o'#ous, %et o+

    a e%e-o!e#g ature. #s #$u*es te r#t##s tat surroga% $ea*s to

    oo*#t#8at#o o+ te #$*, 'rea:s te 'o* 'etee te oter a* te

    #$*, #ter+eres #t ature a* $ea*s to e>!$o#tat#o o+ !oor oe #

    u*er*ee$o!e* outr#es o se$$ te#r 'o*#es +or oe%. Soet#es,

     !s%o$og#a$ os#*erat#os a% oe # te a% o+ a suess+u$

    surroga% arrageet.

    1.9 As +ar as te $ega$#t% o+ te oe!t o+ surroga% #s oere* #t

    ou$* 'e ort#$e to et#o tat Art#$e 16.1 o+ te Universal

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     Declaration of Human Rights 1!" sa%s, inter alia, tat Je a* oe

    o+ +u$$ age #tout a% $##tat#o *ue to rae, at#oa$#t% or re$#g#o ae

    te r#gt to arr% a* +ou* a +a#$%K. e ;u*##ar% # *#a too as

    reog#8e* te re!ro*ut#e r#gt o+ uas as a 'as# r#gt. or #stae,

    #  #. $. %arthasarthi v. Government of &ndhra %radesh1,  te A*ra

    ra*es ?#g Court u!e$* Jte r#gt o+ re!ro*ut#e autoo%K o+ a

    #*##*ua$ as a +aet o+ #s Jr#gt to !r#a%K a* agree* #t te *e#s#o

    o+ te S Su!ree Court # 'ac( T. )(inner v. )tate of *(lahoma2, #

    arater#se* te r#gt to re!ro*ue as Joe o+ te 'as# ##$ r#gts o+

    aK. Ee #  'aved v. )tate of Haryana3,  toug te Su!ree Court

    u!e$* te to $##g #$*re or to *e'ar a !erso +ro otest#g a

     %anchayati Ra+  e$et#o #t re+ra#e* +ro stat#g tat te r#gt to

     !roreat#o #s ot a 'as# ua r#gt.

    1.10 No, #+ re!ro*ut#e r#gt gets ost#tut#oa$ !rotet#o, surroga%

    # a$$os a #+ert#$e ou!$e to e>er#se tat r#gt a$so gets te sae

    ost#tut#oa$ !rotet#o. ?oeer, &ur#s*#t#os # ar#ous outr#es ae

    e$* *#++eret #es regar*#g te $ega$#8at#o o+ surroga%. Eg$a*,

    surroga% arrageets are $ega$ a* te Surroga% Arrageets At

    195 !ro#'#ts a*ert#s#g a* oter as!ets o+ oer#a$ surroga%.

    te S a$so, oer#a$ surroga% sees !ro#'#te* # a% states. te

    +aous  #aby case4,  te Ne ;erse% Su!ree Court, toug a$$oe*

    usto*% to o#ss#o#g !arets # te J'est #terest o+ te #$*K, ae

    to te o$us#o tat surroga% otrat #s aga#st !u'$# !o$#%. t ust

    1 A 2000 A. . 1562 316 S 5353 (2003) SCC 3694 537 A.2* 1227

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     'e ote* tat # te S, surroga% $as are *#++eret # *#++eret states.

    1.11 + te 19  #aby case  # te S +ore* a% to !ut o $ega$

    t#:#g a!s, te tat %ear a$so sa Austra$#a 'att$#g #t so#eta$

    eru!t#os oer te  $ir(man sisters- case  # #tor#a. L#*a #r:a

    agree* to gestate te geet# #$* o+ er o$*er s#ster "agg#e. e 'a'%

    g#r$, a$$e* A$#e, as a*e* oer to "agg#e a* er us'a* at '#rt.

    #s s!ar:e* u ou#t% a* $ega$ *e'ate a* soo Austra$#a states

    atte!te* to sett$e te $ega$ o!$#at#os # surroga%. No # Austra$#a,

    oer#a$ surroga% #s #$$ega$, otrats # re$at#o to surroga%

    arrageet ue+orea'$e a* a% !a%et +or so$##t#g a surroga%

    arrageet #s #$$ega$.

    Mot(er(oo' ,) e)&5%,

    1.12 ?o surroga% a $ea* to a arra% o+ $ega$ o!$e>#t#es regar*#g

    oteroo* as so '% 'aycee #. v. )uperior ourt 5. A #$* as 'or

    to a surrogate oter us#g s!er a* eggs +ro ao%ous *oors

     'eause te #+ert#$e ou!$e as ua'$e to reate te#r o e'r%o us#g

    te # #tro +ert#$#8at#o te#@ues. e ou!$e ose to use ao%ous

    *oors rater ta as:#g te surrogate to use er o eggs 'eause o+ te

     #aby case # Ne ;erse% # # te surrogate a* eetua$$% re+use*

    to a* oer te 'a'% sa%#g tat se as #ts '#o$og#a$ oter a* err#gt to ra#se te #$* !re-e!te* te o#ss#o#g !aretsG. e #$*

    tus a* +#e !eo!$e o ou$* $a% $a# to !aretoo* a geet# oter,

    a o#ss#o#g oter, a surrogate oter, a geet# +ater a* a

    5 42 Ca$.A!!.4 71 (1996)

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    o#ss#o#g +ater. Oe ot !r#or to te '#rt o+ te 'a'% ;a%ee te

    #te*e* !arets ;o a* Luae se!arate* a* ;o sougt to res#* #s

    o'$#gat#os u*er te surroga% otrat so as to ao#* a#g to !a% #$*-

    su!!ort +or ;a%ee. Luae sougt 'ot usto*% a* su!!ort +ro er e>-

    us'a*. e ourt 'att$e ot#ue* a* +or tree %ears ;a%ee *#* ot ae

    a $ega$ !aret. A Ca$#+or#a ourt grate* te!orar% usto*% o+ te 'a'%

    ;a%ee to Luae a* or*ere* ;o to !a% +or #$*-su!!ort.

    1.13 D#++eret outr#es ae ta:e *#++eret sta*s to a**ress t#s #ssue.

    , te surrogate oter #s te $ega$ oter, vide set#o 27(1) o+ te

    ?ua ert#$#sat#o a* E'r%o$og% At 1990. Set#o 30 o+ te sa#* At

    at te sae t#e !ro#*es tat #+ te surrogate oter osets to te #$*

    to 'e treate* as te #$* o+ te o#ss#o#g !arets te ourt a% a:e

    a !areta$ or*er to tat e++et. #s set#o a$so !ro#'#ts g##g or ta:#g

    o+ oe% or oter 'ee+#t (oter ta e>!eses reasoa'$% #urre*) #

    os#*erat#o o+ te a:#g o+ te or*er or a*#g oer o+ te #$*.

    1.14 *#a, aor*#g to te Nat#oa$ =u#*e$#es +or Are*#tat#o,

    Su!er#s#o a* egu$at#o o+ A C$##s, eo$e* # 2005 '% te *#a

    Cou#$ o+ "e*#a$ esear (C") a* te Nat#oa$ Aa*e% o+

    "e*#a$ S#ees (NA"S), te surrogate oter #s ot os#*ere* to 'e

    te $ega$ oter. e '#rt ert#+#ate #s a*e # te ae o+ te geet#

     !arets. e S !os#t#o as !er te =estat#oa$ Surroga% At 2004 #s

     !rett% s##$ar to tat o+ *#a.

    I)'&,) B,$1 M /,*e

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    1.15  #aby an+i /amada v. Union of 0ndia6  oere*

     !ro*ut#o/usto*% o+ a #$* "a Baa*a g#e '#rt '% a surrogate

    oter # Aa*, =u&arat u*er a surroga% agreeet #t er etere*

    #to '% Dr Bu:# Baa*a a* Dr :u+u# Baa*a o+ ;a!a. e s!er a*

    oe +ro Dr :u+u# Baa*a, 'ut egg +ro a *oor, ot +ro Dr Bu:#

    Baa*a. ere ere atr#o#a$ *#sor*s 'etee te o#ss#o#g

     !arets. e geet# +ater Dr :u+u# Baa*a *es#re* to ta:e usto*% o+

    te #$*, 'ut e a* to retur to ;a!a *ue to e>!#rat#o o+ #s #sa. e

    "u##!a$#t% at Aa* #ssue* a '#rt ert#+#ate #*#at#g te ae o+ te

    geet# +ater. e #$* as 'or o 25.07 200 a* oe* o

    03.0.200 to Ar%a ?os!#ta$ # ;a#!ur +o$$o#g a $a a* or*er s#tuat#o

    # =u&arat. e 'a'% as !ro#*e* #t u ee*e* are #$u*#g 'e#g

     'reast+e* '% a oa.

    1.16 e gra*oter o+ te 'a'% "a, "s E#:o Baa*a +$e +ro

    ;a!a to ta:e are o+ te #$* a* +#$e* a !et#t#o # te Su!ree Court

    u*er art#$e 32 o+ te Cost#tut#o. e Court re$egate* er to te

     Nat#oa$ Co#ss#o +or rotet#o o+ C#$* #gts ost#tute* u*er te

    Co#ss#os +or rotet#o o+ C#$* #gts At 2005. $t#ate$%, 'a'%

    "a $e+t +or ;a!a # te are o+ er geet# +ater a* gra*oter.

    I*r,e;& 5,1 /o#p;e

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    1.17 erea+ter as # te es te srae$# ga% ou!$eGs ase7. e ga%

    ou!$e Boata a* Oer ou$* ot # srae$ a*o!t or ae a surrogate

    oter. e% ae to "u'a#. Boata *oate* #s s!er. e%

    se$ete* a surrogate.

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    a $og a#t +or so a% %ears, te *#a Cou#$ o+ "e*#a$ esear

    (C") as oe out #t a *ra+t Ass#ste* e!ro*ut#e eo$og%

    (egu$at#o)

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    $eg#t#ate #$* o+ te ou!$e or te s#g$e !erso, as te ase a% 'e. +

    te o#ss#o#g ou!$e se!arates or gets *#ore* a+ter go#g +or

    surroga% 'ut 'e+ore te #$* #s 'or, te a$so te #$* sa$$ 'e

    os#*ere* to 'e te $eg#t#ate #$* o+ te ou!$e.

    2.5 e

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    re$eat $as # +ore.

    III. SEMINAR ON SURROGACY BANE OR BOON<

    3.1 A se#ar o JSurroga%

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    3.2 e

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    (#) at ou$* 'e te status o+ *#ore* '#o$og#a$

     !arets # res!et o+ te usto*% o+ a surrogate #$*,

    a*

    (##) ou$* a '#o$og#a$ !aret/s 'e os#*ere* te $ega$

     !aret o+ te surrogate #$*M

    3.5 e asers *#susse* at te Se#ar ere

    a) Surroga% # *#a #s $eg#t#ate 'eause o *#a $a

     !ro#'#ts surroga%. o *eter#e te $ega$#t% o+

    surroga% agreeets, te *#a Cotrat At ou$*

    a!!$% a* terea+ter te e+orea'#$#t% o+ a% su

    agreeet ou$* 'e #t# te *oa# o+ set#o 9 o+

    te Co*e o+ C##$ roe*ure (CC). A$terat#e$%, te

     '#o$og#a$ !aret/s a a$so oe a a!!$#at#o u*er

    te =uar*#as a* ar*s At 190 +or see:#g a

    or*er o+ a!!o#tet or a *e$arat#o as te guar*#a

    o+ te surrogate #$*.

     ') te a'see o+ a% $a to goer surroga%, te

    2005 =u#*e$#es a!!$%.

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    ('#o$og#a$) !arets. ?oeer, t#s a% ot 'e

     !oss#'$e # ase o+ tose !arets o aot a*o!t #

    *#a.

    ) *er Set#o 10 o+ te Cotrat At, a$$ agreeets

    are otrats, #+ te% are a*e '% +ree oset o+

     !art#es o!etet to otrat, +or a $a+u$

    os#*erat#o a* #t a $a+u$ o'&et, a* are ot

    e>!ress$% *e$are* to 'e o#*. ere+ore, #+ a%

    surroga% agreeet sat#s+#es tese o*#t#os, #t #s a

    e+orea'$e otrat. erea+ter, u*er set#o 9, CC,

    #t a 'e te su'&et o+ a ##$ su#t 'e+ore a ##$ ourt

    +or a*&u*#at#o o+ a$$ *#s!utes re$at#g to te

    surroga% agreeet a* +or a *e$arat#o/#&ut#o

    as to te re$#e+ !ra%e* +or.

    *) As o+ to*a%, #t a% 'e state* tat a s#g$e or a ga%

     !aret a 'e os#*ere* to 'e te usto*#a$ !aret '%

    #rtue o+ 'e#g te geet# or '#o$og#a$ !aret o+ te

    #$* 'or out o+ a surroga% arrageet. ;a!aese

     'a'% "a Baa*aGs ase a* te srae$ ga% ou!$eGs

    ase o +atere* te #$* # *#a are $ear e>a!$es

    to esta'$#s tat t#s #s !oss#'$e. *er !aragra!

    3.16.1 o+ te =u#*e$#es *ea$#g #t $eg#t#a% o+

    #$*re 'or troug A (# as te 'as#s o+ te

    $a# # te ;a!aese 'a'%Gs ase # te Su!ree

    Court), t#s $a# a 'e a*e. ?oeer, o$% # a

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     !et#t#o +or guar*#as#! u*er te =uar*#as a*

    ar*s At a*/or # a su#t +or *e$arat#o # a ##$

    ourt, te e>$us#e usto*#a$ r#gts a 'e a*&u*#ate*

     '% a ourt o+ o!etet &ur#s*#t#o u!o a!!re#at#o

    o+ e#*ee a* os#*er#g a$$ $a#s a*e # t#s

    regar*.

    e) Esset#a$$%, t#s #s a @uest#o # #$$ re@u#re

    *eter#at#o # aor*ae #t te surroga%

    agreeet 'etee te !art#es. ere ou$*

    a!!aret$% 'e o 'ar to e#ter o+ te *#ore* !arets

    $a##g usto*% o+ a surrogate #$* #+ te oter

     !aret *oes ot $a# te sae. ?oeer, #+ te

    usto*% #s oteste*, #t a% re@u#re a*&u*#at#o '% a

    ourt o+ o!etet &ur#s*#t#o.

    +) aser to t#s @uest#o #t a 'e state* tat te

     '#o$og#a$ !arets ou$* 'e os#*ere* to 'e te $ega$

     !arets o+ te #$* '% #rtue o+ te surroga%

    agreeet e>eute* 'etee te a* te surrogate

    oter. *er !aragra! 3.16.1 o+ te =u#*e$#es

    *ea$#g #t $eg#t#a% o+ te #$* 'or troug

    A, #t #s state* tat Ja #$* 'or troug A sa$$

     'e !resue* to 'e te $eg#t#ate #$* o+ te ou!$e,

     'or #t# e*$o:, #t oset o+ 'ot te s!ouses,

    a* #t a$$ te atte*at r#gts o+ !aretage, su!!ort

    a* #er#taeK. Ee # te 200 *ra+t

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    u$es, a #$* 'or to a arr#e* ou!$e, a uarr#e*

    ou!$e, a s#g$e !aret or a s#g$e a or oa, sa$$

     'e te $eg#t#ate #$* o+ te ou!$e, a or oa,

    as te ase a% 'e.

    g) ?oeer, te oot @uest#o # a% ar#se +or

    *eter#at#o #s as to eter a &u*##a$ er*#t

    *eter##g r#gts o+ !art#es # a surroga%

    arrageet #s esset#a$ # res!et o+ a +ore#g

     '#o$og#a$ !aret o #ses to ta:e te surrogate

    #$* to #s/er outr% o+ or#g# or !eraet

    res#*ee. t a 'e sa#* tat e#ter a *e$arat#o +ro

    a ##$ ourt a*/or a guar*#as#! or*er ougt to 'e a

    ust to o$us#e$% esta'$#s te r#gts o+ a$$ !art#es

    a* to !reet a% +uture *#sre!a#es ar#s#g #

    res!et o+ a% $a#s tereto.

    IV. CONCLUSION AND RECOMMENDATION 

    4.1 Surroga% #o$es o+$#t o+ ar#ous #terests a* as #sruta'$e

    #!at o te !r#ar% u#t o+ so#et% #8. +a#$%. No-#teret#o o+

    $a # t#s :ott% #ssue #$$ ot 'e !ro!er at a t#e e $a #s to at as

    ar*et *e+e*er o+ ua $#'ert% a* a #struet o+ *#str#'ut#o o+

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     !os#t#e et#t$eets. At te sae t#e, !ro#'#t#o o ague ora$

    grou*s #tout a !ro!er assesset o+ so#a$ e*s a* !ur!oses #

    surroga% a sere ou$* 'e #rrat#oa$. At#e $eg#s$at#e #teret#o #s

    re@u#re* to +a#$#tate orret uses o+ te e teo$og% #.e. A a*

    re$#@u#s te oooe* a!!roa to $ega$#8at#o o+ surroga% a*o!te*

    #terto. e ee* o+ te our #s to a*o!t a !ragat# a!!roa '%

    $ega$#8#g a$tru#st# surroga% arrageets a* !ro#'#t oer#a$

    oes.

    4.2 e *ra+t

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    2 A surroga% arrageet sou$* !ro#*e +or +#a#a$

    su!!ort +or surrogate #$* # te eet o+ *eat o+ te

    o#ss#o#g ou!$e or #*##*ua$ 'e+ore *e$#er% o+ te

    #$*, or *#ore 'etee te #te*e* !arets a*

    su'se@uet #$$#gess o+ oe to ta:e *e$#er% o+ te #$*.

    3 A surroga% otrat sou$* eessar#$% ta:e are o+ $#+e

    #surae oer +or surrogate oter.

    4 Oe o+ te #te*e* !arets sou$* 'e a *oor as e$$,

     'eause te 'o* o+ $oe a* a++et#o #t a #$* !r#ar#$%

    eaates +ro '#o$og#a$ re$at#os#!. A$so, te aes o+

    ar#ous :#*s o+ #$*-a'use, # ae 'ee ot#e* #

    ases o+ a*o!t#os, #$$ 'e re*ue*. ase te #te*e*

     !aret #s s#g$e, e or se sou$* 'e a *oor to 'e a'$e to

    ae a surrogate #$*. Oter#se, a*o!t#o #s te a% to

    ae a #$* # #s resorte* to #+ '#o$og#a$ (atura$)

     !arets a* a*o!t#e !arets are *#++eret.

    5 Leg#s$at#o #tse$+ sou$* reog#8e a surrogate #$* to 'e te

    $eg#t#ate #$* o+ te o#ss#o#g !aret(s) #tout tere

     'e#g a% ee* +or a*o!t#o or ee *e$arat#o o+ guar*#a.

    6 e '#rt ert#+#ate o+ te surrogate #$* sou$* ota# te

    ae(s) o+ te o#ss#o#g !aret(s) o$%.

    7 #gt to !r#a% o+ *oor as e$$ as surrogate oter sou$*

     'e !rotete*.

    Se>-se$et#e surroga% sou$* 'e !ro#'#te*.

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    9 Cases o+ a'ort#os sou$* 'e goere* '% te "e*#a$

    er#at#o o+ rega% At 1971 o$%.

    4.3 e reoe* aor*#g$%.

    (Dr ;ust#e A. La:saa)

    Ca#ra

    (ro+. Dr a#r "aoo*) (Dr