Choosing the Right Gestational Carrier: What You Need to Know

Choosing the right gestational carrier is a critical step in the journey towards parenthood through surrogacy. This decision involves multiple factors, including ethical considerations, legal aspects, and emotional readiness. In this article, Mount Sinai Fertility will provide valuable insights and practical advice on selecting the ideal gestational carrier, ensuring that you are well-informed and prepared for this significant process.

The Role of a Gestational Carrier


A gestational carrier, also known as a surrogate, plays a vital role in the surrogacy process. Unlike traditional surrogacy, where the surrogate’s egg is used, a gestational carrier carries a pregnancy created through IVF. This can involve the intended parents’ egg and sperm, donor egg and sperm, or a combination of the intended parents’ and donors’ eggs or sperm. This distinction is important as it separates the genetic relationship between the carrier and the child.

Key Points:

  • Definition and Purpose: A gestational carrier is someone who carries and delivers a baby for another person or persons who cannot conceive or carry a pregnancy to term.
  • Medical Requirements: Gestational carriers must meet specific health criteria to ensure a safe pregnancy and delivery.
  • Emotional Support: Providing emotional support to gestational carriers is critical throughout the pregnancy.

How to Select a Gestational Carrier

Selecting the right gestational carrier involves careful consideration and thorough screening. Here are some essential factors to keep in mind:

  • Health and Medical History: Ensure the carrier has a healthy medical background with no history of complications during previous pregnancies.
  • Psychological Evaluation: A thorough psychological assessment ensures that the carrier is mentally and emotionally prepared for the surrogacy process.
  • Legal Considerations: Work with a lawyer who specializes in fertility law to draft a clear and comprehensive surrogacy agreement.
  • Compatibility: Establish a strong, trusting relationship with the carrier to ensure open communication and mutual understanding.

It’s essential to discuss expectations, communication preferences, and boundaries with potential carriers to avoid future misunderstandings.


Legal and Emotional Considerations

Understanding the legal and emotional aspects of surrogacy is critical for all parties involved. Here are some important points to consider:

Legal Aspects of Surrogacy:

  • Surrogacy Laws: Surrogacy laws vary by country and region. Ensure you are familiar with the legal requirements in your area. In Ontario, regulations allow for intended parents to register the birth under them even when surrogacy has been used and if specific requirements have been met.
  • Surrogacy Agreement: An agreement protects the rights and responsibilities of both the intended parents and the gestational carrier. In Ontario, it is required for an agreement between the intended parents and carrier to be in place prior to pursuing surrogacy.
  • Parental Rights: Ensure that the agreement outlines the process for establishing parental rights after the birth of the child.

Emotional Considerations:

  • Support Systems: Both the intended parents and the gestational carrier should have access to counselling and/or support groups.
  • Communication: Maintain open and honest communication throughout the pregnancy to foster a positive relationship.
  • Post-Birth Relationship: Discuss and agree on the nature of the relationship after the birth, respecting the preferences and boundaries of all parties.

Choosing the right gestational carrier is a complex but rewarding process that requires careful planning and consideration. By understanding the role of a gestational carrier, knowing how to select the right one, and being aware of the legal and emotional aspects, you can ensure a smoother and more positive surrogacy journey. For more detailed information on third-party reproduction, visit our third-party reproduction page. To learn more please visit our website to be referred to Mount Sinai Fertility for a consultation.