Surrogacy Options- The Current Landscape · India close 2016 Cambodia closes 2014 Baby Gammy scandal 2013 India closes to LGBTI 2010 India boom starts 1985 1990s 2000s 2011 Thailand/Nep

November 2017 Seminar Series

Surrogacy Options- The Current Landscape

Neil McDonagh

Families Through Surrogacy


What is FTS?

www.familiesthrusurrogacy.com

Not-for-profit organisation

Global events

Australia

UK

Ireland

Scandinavia

US


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


Surrogacy - What You Will Need

• Financial resources

• Project Management skills

• Patience/ Commitment

• Ability to put trust in others

• Flexibility


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


Surrogacy Service Providers

Surrogacy Agency

IVF Clinic

Law firm Egg Donor

BirthHospital

NICU

Cryoshipper

Genetic testing


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


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


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


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


SURROGACY TRENDS


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


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


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



Differences By Country


£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


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


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.

Documents

Surrogacy Options- The Current Landscape · India close 2016 Cambodia closes 2014 Baby Gammy scandal 2013 India closes to LGBTI 2010 India boom starts 1985 1990s 2000s 2011 Thailand/Nep