Surrogacy Market Trends by Type, Technology & Region Forecast 2025–2033

The global surrogacy market is witnessing significant growth, driven by increasing infertility rates, evolving societal norms, and advancements in assisted reproductive technologies (ART). In 2024, the market was valued at USD 194.0 million and is projected to reach USD 321.4 million by 2033, exhibiting a compound annual growth rate (CAGR) of 5.48% during the forecast period. Factors such as the rise in fertility tourism, the affordability of surrogacy services, and supportive legal frameworks across various countries are contributing to this upward trend.

Study Assumption Years

• Base Year: 2024

• Historical Years: 2019–2024

• Forecast Years: 2025–2033 

Surrogacy Market Key Takeaways

• Market Size & Growth: The surrogacy market is projected to grow from USD 194.0 million in 2024 to USD 321.4 million by 2033, reflecting a CAGR of 5.48% during the forecast period.

• Dominant Region: North America leads the market due to supportive legal frameworks and advanced fertility treatment centres.

• Type Preference: Gestational surrogacy is preferred over traditional surrogacy due to legal and ethical considerations.

• Technological Advancements: IVF with ICSI is the most widely used technology in surrogacy procedures.

• Service Provider Trends: Fertility clinics are the primary service providers, offering comprehensive reproductive services.

• Legal Developments: Increasingly clear and supportive legal environments in various countries are facilitating market growth.

• Social Acceptance: Growing societal acceptance of surrogacy, including among LGBTQ+ couples, is contributing to market expansion.

Market Growth Factors

The surrogacy market size expansion is influenced by several key factors:

1- Rising infertility rates:

The rising rates of infertility around the world are leading to a boom in the surrogacy market. More individuals, couples, and LGBT families are turning to assisted reproductive technologies (ART) to help them start their families. This surge in demand is driving growth for fertility clinics and service providers, who are there to offer medical, legal, and psychological support throughout the surrogacy journey. Thanks to advancements in technology, especially in IVF, success rates are improving, and options are expanding, which is only speeding up this growth. However, changing regulations and ethical issues are reshaping the landscape, with many areas leaning towards altruistic or domestic surrogacy models and putting limits on cross-border arrangements. These shifting legal frameworks can be tricky, especially with the lack of reliable data for accurate market sizing. Still, as society becomes more accepting of ART and diverse family structures, new opportunities are emerging in this complex and fast-changing market.

2 - Changing societal norms and family structures:

As society becomes more accepting of various family structures, surrogacy is breaking free from traditional notions of parenthood, leading to impressive growth in the market. The legal recognition and increased acceptance of LGBTQ+ couples have created a significant demand, as these individuals look for alternative ways to start their families. At the same time, more single people are opting to become parents, and surrogacy presents a practical solution for them. This widening pool of potential parents, along with heightened public awareness and open conversations about infertility, has helped to diminish the social stigma that once surrounded surrogacy. Consequently, more individuals feel empowered and at ease to explore this option, transforming how families are built in today’s world.

3 - Technological advancements: 

Recent advancements in Assisted Reproductive Technologies (ART) like Intracytoplasmic Sperm Injection (ICSI), improved IVF techniques, and laser-assisted hatching have made a world of difference for those dealing with infertility. ICSI is especially beneficial for men facing severe fertility issues, as it allows for direct injection of sperm into the egg, bypassing natural obstacles. With the help of modern micromanipulators, embryologists can handle eggs and sperm with incredible precision, reducing the risk of damage and fostering healthier embryo development. Enhanced embryo culture systems, such as in vitro maturation (IVM) and microfluidic platforms, create the best possible growth conditions outside the body. Plus, laser-assisted hatching makes it easier for embryos to implant by creating tiny openings in their protective shell. All these innovations work together to boost efficiency, precision, and success rates, making ART a more dependable route to parenthood.

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Market Segmentation

By Type

• Gestational Surrogacy: In this arrangement, the surrogate carries a child conceived through IVF using the intended parents' or donors' gametes, ensuring no genetic link between the surrogate and the child.

• Traditional Surrogacy: Here, the surrogate's own egg is fertilized, making her the biological mother of the child she carries.

By Technology

• IVF with ICSI: This technique involves injecting a single sperm directly into an egg, commonly used in cases of male infertility.

• IVF without ICSI: Standard IVF procedure where eggs and sperm are combined in a lab dish to allow fertilization.

• Intrauterine Insemination (IUI): A fertility treatment that involves placing sperm directly into a woman's uterus to facilitate fertilization.

By Service Provider

• Hospitals: Medical institutions offering a range of fertility treatments, including surrogacy services.

• Fertility Clinics: Specialized centers focusing on reproductive health and providing comprehensive surrogacy solutions.

• Others: Includes independent surrogacy agencies and consultants offering various support services.

Breakup by Region

• North America (United States, Canada)

• Asia Pacific (China, Japan, India, South Korea, Australia, Indonesia, Others)

• Europe (Germany, France, United Kingdom, Italy, Spain, Russia, Others)

• Latin America (Brazil, Mexico, Others)

• Middle East and Africa

Regional Insights

North America dominates the surrogacy market, primarily due to its advanced healthcare infrastructure, favorable legal frameworks, and high awareness levels. The United States has well-established surrogacy laws in several states, attracting both domestic and international intended parents seeking reliable and legally secure surrogacy arrangements.

Recent Developments & News

In January 2025, the Supreme Court of India announced its decision to review age restrictions stipulated in the country's surrogacy legislation. The hearing, scheduled for February 11, aims to address concerns regarding the eligibility criteria for intended parents and surrogate mothers. The court emphasized the need for a comprehensive database to prevent the repeated use of the same surrogate and to safeguard against potential exploitation, highlighting the importance of regulatory oversight in the surrogacy process.

Key Players

Bourn Hall Clinic, CARE Fertility, Circle Surrogacy & Egg Donation, Extraordinary Conceptions, Growing Generations LLC, Houston Fertility Center, IVIRMA Global, Max Healthcare, New Hope Fertility Center, Nova IVF, Ovation Fertility, Scanfert Clinic etc.

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