How to Choose a Surrogacy Agency
Choosing a surrogacy agency is one of the most important decisions intended parents will make, yet many agencies are judged by the wrong signals. A list of available surrogate profiles, a long waiting list, or a polished website does not tell you how well an agency screens surrogates, manages the process, or protects your time, money, and emotional investment. What matters is how much real work is done before you are ever asked to commit.
At Choice Surrogacy, Trish Taylor, owner of the agency, personally leads the most important parts of the process. She conducts surrogate Education and Information Sessions, leads intended parent consultations, evaluates which candidates may be the right fit for match presentation, and facilitates the virtual match meeting. That kind of direct leadership from the company’s decision-maker is uncommon in the surrogacy industry and gives intended parents a clearer, more personally guided path from first consultation through match.
What should intended parents look for in a surrogacy agency?
Intended parents often choose an agency too quickly for the wrong reasons. Some are drawn to agencies that appear to have surrogates ready and waiting. Others assume a long waiting list must mean the agency is more established or more successful. What intended parents should really be looking at is how the agency screens surrogates, how much is evaluated before a profile is ever shown, how financial commitment is timed, and whether the agency has the experience to guide both the expected and the unexpected.

Who is actually guiding the surrogacy process at the agency?
In many agencies, the people educating surrogates, consulting with intended parents, screening candidates, and facilitating matches are all different people. At Choice, those key decisions stay under the direct leadership of Trish Taylor from early surrogate education through intended parent consultation, match presentation, and the facilitated match meeting. That continuity gives intended parents a stronger sense of who is making decisions, how candidates are being evaluated, and what kind of guidance they can expect throughout the process.
Are available surrogate profiles really a sign of a strong agency?
Not necessarily.
A catalog of profiles may look reassuring, but it does not tell you whether those women are fully committed, properly educated, medically appropriate, or likely to be approved by your IVF doctor. Some intended parents sign with an agency, pay early, and still spend months waiting without moving into a strong match.
The better question is not whether an agency has profiles ready to show you. The better question is whether the agency has done the work to make those profiles meaningful.
Why surrogate prescreening should happen before your money and heart are involved
Prescreening a surrogate should move as much evaluation as possible to the front of the process before intended parents are financially or emotionally invested.
At Choice Surrogacy, we work for months on behalf of intended parents before we are ever paid and before a surrogate is ever matched. The goal is to move through as many false starts, disappointments, and unqualified or uncommitted candidates as possible before your money and heart are involved.
Choice pays for its own surrogate outreach, advertising, and prescreening efforts instead of tying up intended parents’ money in a waiting list while early weeding-out is still happening. That is one of the differences at Choice. By the time a surrogate profile is presented, meaningful work has already been done to determine whether she is committed to becoming a Choice surrogate and is suitable to move forward.
What Choice completes before a surrogate profile is presented
At Choice, prescreening goes far beyond collecting an application.
Before a surrogate profile is presented, Choice works through as much early evaluation as possible, including:
- maternity and delivery records collected through a professional medical records collection firm
- review of the surrogate’s OB and delivery history
- evaluation of insurance suitability
- confirmation of commitment to the Choice compensation package
- direct interview and education with Trish Taylor
- OBGYN approval for pregnancy again
- up-to-date Pap smear
- mental health assessment interview
- standardized psychological testing for the surrogate
- background checks for the surrogate and her husband or partner
When intended parents review a profile, they should know that this early work has already been done and that the surrogate has not simply filled out an application and been placed in a lineup.
What happens before intended parents make a financial commitment in surrogacy?
At Choice Surrogacy, the process is designed so financial commitment follows meaningful progress.
The sequence works like this:
- the surrogate completes Choice prescreening
- Trish Taylor identifies her as a strong fit for the intended parents’ criteria
- intended parents review the surrogate profile with no financial or contractual commitment yet
- if they are interested, the surrogate’s OB and delivery records are sent to the intended parents’ IVF clinic for records preapproval
- once the IVF doctor gives the green light, Trish facilitates the virtual match meeting with the intended parents and surrogate
- if both sides say yes to proceeding, intended parents sign the Choice surrogate program documents and make the first program payment
- the surrogate then attends the IVF clinic for final in-person medical clearance, laboratory testing, injection education, and uterine evaluation
- after medical clearance, the process moves into legal contracts
- IVF cycle preparation begins for embryo transfer
Choice program payment timing
Choice ties program payments to real progress in the case.
- Payment 1: after a mutual yes to proceed and signing Choice surrogate program documents
- Payment 2: after legal contracts are signed
- Payment 3: after pregnancy is confirmed on ultrasound by the IVF doctor
This is important because intended parents should understand not only what they may spend, but when and why each payment happens.
What happens after IVF records preapproval and the surrogate match meeting?
Once the intended parents and surrogate have said a mutual yes after the facilitated match meeting, the process moves forward with purpose.
The surrogate is then scheduled with the IVF clinic for the final stage of medical clearance. This includes in-person medical evaluation, laboratory testing, medication and injection instruction, and uterine evaluation. If she receives medical clearance, the process moves directly into legal contracts with separate independent legal counsel who focus on surrogacy law. After legal clearance, the IVF cycle preparation begins for embryo transfer.
This sequence matters because it helps intended parents understand exactly what should happen, in what order, and why real agency structure matters.
Why surrogate commitment matters before matching
Surrogates can apply to multiple agencies while looking for the right match or the highest compensation. That is one reason intended parents should ask how an agency handles surrogate commitment before presenting profiles.
At Choice, we do not present profiles of a woman who is not committed, educated, and truly the right type of person to become a gestational carrier. By the time intended parents review her profile, she should understand the process, understand the Choice compensation package, and be genuinely prepared to move forward if the match is right.
Why high-touch coordination matters during IVF and beyond
A surrogacy agency’s job does not stop at the match.
During IVF cycle preparation and transfer, Choice coordinates with mental health professionals, the IVF doctor, and the IVF coordinator while intended parents and surrogate move through the medical process together. Choice also manages travel arrangements and stays personally involved in the details that affect the experience.
That level of care matters. Surrogacy is not just paperwork and scheduling. It is a high-stakes process that requires close communication, follow-through, and real attention to detail.
Key Takeaways
What to look for when choosing a surrogacy agency:
- how deeply the agency screens and prepares surrogates
- whether meaningful evaluation happens before financial commitment
- whether your IVF clinic reviews records before the match moves forward
- how the agency facilitates the match meeting and legal preparation
- whether payments are tied to real progress in the case
- whether the agency stays closely involved during IVF, travel, and unexpected developments
Frequently Asked Questions
How do you choose the right surrogacy agency?
Look beyond available profiles, a polished website, or a long waiting list. Intended parents should ask how the agency screens surrogates, when financial commitment begins, how the agency works with the IVF clinic, and how closely it guides matching, legal preparation, and the medical process.
What should intended parents look for in a surrogacy agency?
They should look for meaningful prescreening, clear financial timing, reliable match guidance, and an agency that does substantial work before parents become financially or emotionally invested.
Is a long waiting list a sign of a good surrogacy agency?
Not necessarily. A waiting list does not tell you how well the agency screens surrogates, how suitable the candidates are, or whether the profiles being shown are likely to be approved by your IVF doctor.
What happens before intended parents make a financial commitment in surrogacy?
At Choice, a surrogate completes prescreening first. If intended parents are interested in her profile, her OB and delivery records are sent to their IVF clinic for records preapproval. Only after the doctor gives approval and the match meeting results in a mutual yes do intended parents sign program documents and make the first program payment.
When are Choice program payments made?
Choice ties program payments to real progress in the case. Payment 1 is made after a mutual yes to proceed and signing Choice program documents. Payment 2 is made after legal contracts are signed. Payment 3 is not due until pregnancy is confirmed on ultrasound by the IVF doctor.
Talk with Choice about your surrogacy journey
Learn what meaningful prescreening, careful matching, and experienced guidance can look like before you commit.
Schedule a Surrogacy Consultation