November 2017 Seminar Series

Surrogacy Options- The Current Landscape

Neil McDonagh

Families Through Surrogacy

November 2017 Seminar Series

What is FTS?

www.familiesthrusurrogacy.com

Not-for-profit organisation

Global events

Australia

UK

Ireland

Scandinavia

US

November 2017 Seminar Series

What is FTS?

Best-practice conferences & seminars for intended parents

Events run by parents & surrogates

Focus on education & best practice

Website resources

Consultancy to assist intended parents

www.familiesthrusurrogacy.com

November 2017 Seminar Series

Surrogacy - What You Will Need

• Financial resources

• Project Management skills

• Patience/ Commitment

• Ability to put trust in others

• Flexibility

November 2017 Seminar Series

Types of Surrogacy

Traditional Surrogacy – Surrogate uses own eggs, no IVF may be required (home-based)

- 20% of Australian arrangements

- allowed in QLD, NSW, VIC, TAS, NT

Gestational Surrogacy – intended parent or donor eggs used

- 80% of Australian arrangements

- allowed in all states

November 2017 Seminar Series

Surrogacy Service Providers

Surrogacy Agency

IVF Clinic

Law firm Egg Donor

BirthHospital

NICU

Cryoshipper

Genetic testing

November 2017 Seminar Series

Level of Engagement

Independent/ Domestic Surrogacy

• DIY model

• high level of emotional engagement

• high level of personal effort

• Very regular communication & negotiation

with your surrogate

November 2017 Seminar Series

Level of Engagement

Agency-Managed Surrogacy

• US/Canada: You choose level of

engagement

• Other: Low level of engagement with

surrogate

• Surrogacy Agency acts as intermediary

• Regular contact at your discretion

November 2017 Seminar Series

Key Issues to Consider

• Few countries allow foreigners to access surrogacy legally

• Even fewer provide legal access to singles and gay couples

• You are better protected if you engage in countries with surrogacy-specific laws

• Understand what rights you and your surrogate have in the country you engage in

• Surrogacy is often a two year journey

November 2017 Seminar Series

Using Own Eggs if >37 yrs has Low Success

47.5

39.6

28

15.7

6.93

0

10

20

30

40

50

60

70

80

90

100

<35 years 35-37 years 38-40 years 41-42 years 43-44 years >44 years

% o

f tr

ansfe

rs leadin

g t

o liv

e b

irth

Age of Mother

Success Rates By Age of Egg Provider

% fresh transfers

Many Australian women spend $40,000 -$80,000 on IVF before even considering

donor eggs or surrogacy

November 2017 Seminar Series

SURROGACY TRENDS

November 2017 Seminar Series

Developing Markets Close

2015

Thailand, Nepal &

India close

2016

Cambodia closes

2014

Baby Gammy

scandal

2013

India closes to

LGBTI

2010

India boom

starts

20111990s 1985 2000s

Thailand/Nep

al boom

Greece opens

to foreigners

IPs engaging in USA & UK

November 2017 Seminar Series

New Developing Markets

2015

Thailand, Nepal &

India close

2016

Cambodia closes

2014

Baby Gammy

scandal

2013

India closes to

LGBTI

2010 20111990s

IPs engaging in USA & UK

2000s

Thailand/Nep

al boom

Greece opens

to foreigners

Laos & Kenya

open

Ukraine booms

November 2017 Seminar Series

Impact of Market Closures

• Greater pressure on US, Canada, Ukraine & UK surrogacy

• Increasing wait times to locate surrogate

• IPs engaging without sufficient groundwork

• Lower cost US options

• Growth of hybrid programs

• Eg US surrogate + lower cost Cyprus IVF

• US IVF + Canadian surrogate

November 2017 Seminar Series

November 2017 Seminar Series

Differences By Country

November 2017 Seminar Series

£15,397

£5,375 £4,460 £9,560

£24,150

£13,000 £7,600

£8,000

£8,940

£6,644

£6,245 £2,000

£23,000

£8,000

£11,000

£14,000

£16,950 £3,160

£2,930

£2,114 £6,250

£2,500

£6,457

£2,050 £8,000

£2,094

£5,960

£300

£-

£-

£12,000

£8,456 £1,800

£1,150

£0

£10,000

£20,000

£30,000

£40,000

£50,000

£60,000

£70,000

£80,000

£90,000

£100,000

£110,000

£120,000

USA Canada Greece Ukraine

Pounds

Country Engaged In

Egg Donor

Surrogate & newborninsurance

Hospital & post-birthcosts

Screening/Counselling

Surro expenses

Surrogatecompensation

Legal costs

IVF & antenatal

Agency fee

Comparative Baseline Costs

November 2017 Seminar Series

Comparative Baseline Costs

Final Costs often 50% higher than baseline

Due to

• Travel & accommodation

• Failed IVF cycles

• Failed implantations/miscarriages

• Need to switch to donor eggs

• Need to switch surrogates

November 2017 Seminar Series

Further Advice

• There are a multitude of ways to control costs and make surrogacy work in your destination

of choice which fits your budget

• Families Through Surrogacy can provide customised advice

• a Skype consult followed by a step-by-step 12-18 page guide customised to your situation.

• designed to provide specific guidance for a safe, legal route to surrogacy in a country which

fits your budget, relationship status & risk profile.