Surrogacy Market Size, Share and Trends 2024 to 2034

The global surrogacy market size surpassed USD 17.55 billion in 2023 and is estimated to increase from USD 21.85 billion in 2024 to approximately USD 195.97 billion by 2034. It is projected to grow at a CAGR of 24.53% from 2024 to 2034.

  • Last Updated : 05 Sep 2024
  • Report Code : 4911
  • Category : Healthcare

Surrogacy Market Size and Forecast 2024 to 2034

The global surrogacy market size is projected to be worth around USD 195.97 billion by 2034 from USD 21.85 billion in 2024, at a CAGR of 24.53% from 2024 to 2034. The surrogacy market is driven by the growing rates of infertility. With many couples finding it difficult to conceive naturally, surrogacy is a potential option. Several factors, including delayed childbirth, lifestyle decisions, and health issues influence this tendency. Surrogacy drives the market in certain areas since it provides surrogate mothers with a sizable cash opportunity.

Surrogacy Market Size 2024 to 2034

Surrogacy Market Key Takeaways

  • North America dominated in the surrogacy market in 2023.
  • Europe held a notable share in the surrogacy market during the forecast period.
  • Asia- Pacific shows lucrative growth in the surrogacy market during the forecast period.
  • By type, the gestational surrogacy segment dominated the surrogacy market in 2023.
  • By technology, the in-vitro fertilization (IVF) segment dominated the surrogacy market in 2023.
  • By age group, the 35-37 years segment dominated the surrogacy market in 2023.
  • By age group, the below 35 years segment is observed to be the fastest growing in the market during the forecast period.
  • By service provider, the fertility clinics segment held a significant share and observed to sustain position the surrogacy market during the forecast period.

Market Overview

For people and couples who are unable to conceive or carry a pregnancy to term, the surrogacy market provides a workable solution for starting a family. The market incites continuous debates about the moral and legal ramifications of surrogacy, including concerns about intended parents' and surrogates' rights and the regulation of surrogacy procedures.

Top government initiatives for surrogacy

  • The Indian government has informed amended rules to allow women government employees to take 180 days of maternity leave if they have children through surrogacy.
  • If one partner has a medical issue, married couples in India are now permitted to use the egg or sperm of a donor. The District Medical Board must certify that either the husband or the wife has a medical condition requiring a donor gamete, per the modified Surrogacy (Regulation) Rules, 2022.
  • In April 2024, in response to a petition challenging the Surrogacy Act's prohibition on married couples with existing children using surrogacy to have a second child, the Supreme Court requested the Center's reply.

How is AI helping the surrogacy market growth?

Due to developments in machine learning and computer vision, the field of artificial intelligence in embryo selection has made significant strides. These innovations have greatly improved important success indicators like implantation rates and live birth outcomes by incorporating AI into the embryo selection. Artificial intelligence technology may be able to act as a surrogate decision-maker for patients who are unable to make decisions for themselves, as algorithms are becoming more and more accurate at predicting values and preferences.

Fertility clinics can use AI to examine massive patient data sets and spot trends that could affect the outcome of IVF treatments. AI technology will become even more essential to IVF facilities worldwide.

Surrogacy Market Growth Factors

  • The demand for surrogacy services is being driven by rising rates of infertility among couples globally, which can be attributed to a variety of factors, including delayed childbirth, lifestyle choices, and medical issues.
  • The increasing number of couples who view surrogacy as a feasible means of starting a family is a result of shifting public attitudes on the practice.
  • There is a growing demand for surrogacy services in nations that have legalized or loosened rules related to this practice. This drives the growth of the surrogacy market.
  • Celebrities and high-profile people who have used surrogacy have the power to change public opinion and raise awareness of the practice.

Market Scope

Report Coverage Details
Market Size by 2034 USD 195.97 Billion
Market Size in 2023 USD 17.55 Billion
Market Size in 2024 USD 21.85 Billion
Market Growth Rate from 2024 to 2034 CAGR of 24.53%
Largest Market North America
Base Year 2023
Forecast Period 2024 to 2034
Segments Covered Type, Technology, Age Group, Service Provider, and Regions
Regions Covered North America, Europe, Asia-Pacific, Latin America and Middle East & Africa

Market Dynamics

Driver

Increasing infertility rates

Globally, the rate of infertility has been increasing for several reasons, including changes in lifestyle, the environment, and health issues. About 15% of couples worldwide struggle with infertility, according to the World Health Organization. As more people and couples experience difficulties becoming pregnant, surrogacy has become a respectable substitute such rising rates of infertility is seen to act as a driver for the surrogacy market. Through a surrogate mother, surrogacy enables those unable to carry a pregnancy to still have a biological child. Legislative frameworks are changing in several areas to improve surrogacy arrangements' acceptability. Additionally, social views are improving, lessening stigma and encouraging more people to choose surrogacy.

  • According to the WHO, Infertility affects about 1 in 6 people worldwide, demonstrating the critical need to expand the number of individuals in need of inexpensive, high-quality fertility care.

Restraint

High cost involved in the surrogacy procedure

Extensive medical procedures, such as fertility treatments, pregnancy monitoring, and birthing, are part of the surrogacy process. These treatments have high medical costs because they require sophisticated equipment and specialized care. Surrogates receive payment for their time, effort, and the risks associated with bearing a pregnancy. A base charge and additional funds for travel, medical costs, and any potential difficulties are frequently included in this remuneration. In many areas, surrogacy-related expenses are not covered by health insurance, which makes the process even more costly for intended parents, who are responsible for covering all associated fees. Additionally, the surrogacy market is seen to hampered by the lower adoption of surrogacy processes in underdeveloped regions.

Stringent regulations about commercial surrogacy

Legal and administrative expenses frequently rise due to strict rules. These expenses cover things like creating and enforcing detailed legal contracts, undergoing psychiatric and medical examinations, and making sure everyone complies with the law. Regional differences in regulations can be substantial. In regions with strong regulations, intended parents could have to search for surrogacy services in other areas or nations with laxer laws, which could add to the process's complexity and expense. In some areas, the availability of surrogacy services may be restricted by strict rules. This may limit the alternatives available to intended parents, who could have trouble locating surrogacy providers in the location of their choice.

Opportunity

Advancements in assisted reproductive technologies (ART)

The success rates of reproductive treatments have considerably increased due to advancements in ART, including improved IVF procedures, preimplantation genetic testing (PGT), and sophisticated egg retrieval techniques. This improvement indicates that more individuals and couples are using surrogacy to conceive successfully, which is driving rising demand for surrogacy services. Improvements in genetic testing enable more informed choices about the selection and implantation of embryos. Because fewer unintended pregnancies or pregnancy-related issues are likely, surrogacy is viewed as a more appealing alternative by infertile persons.

Developments in ART are also igniting debates about the morality of surrogacy. As these technologies advance, continuing discussions and legislative actions mold the environment, guaranteeing that surrogacy procedures are carried out ethically and responsibly.

Type Insights

The gestational surrogacy segment dominated the surrogacy market in 2023. Many nations and jurisdictions have legalized gestational surrogacy, especially those where traditional surrogacy, in which the surrogate also donates the egg, is subject to limitations. Because there is no genetic connection between the surrogate and the child, the legal system frequently supports gestational surrogacy, which simplifies the issues around parental rights. Because the surrogate does not provide her egg, there is a lower chance of hyperstimulation and other problems with egg retrieval, making it generally seen as safer.

Many people view gestational surrogacy as more ethically acceptable since it keeps the surrogate's role apart from that of a genetic mother. This makes it easier for the intended parents to establish parental rights and always worries about the surrogate's possible relationship with the kid.

Technology Insights

The in-vitro fertilization (IVF) segment dominated the surrogacy market in 2023. The success rates of IVF technologies have significantly improved over time. Preimplantation genetic testing (PGT) and sophisticated embryo culture techniques have raised the probability of successful IVF pregnancies. Because of its dependability, IVF is becoming the procedure of choice for surrogacy agreements. Many developed nations with state-of-the-art IVF clinics have developed into centers for medical tourism, attracting intended parents seeking surrogacy services from countries with less developed medical infrastructure or stringent surrogacy regulations. These nations' superior IVF services have cemented their surrogacy industry supremacy.

A California law would redefine infertility to include single individuals and same-sex couples. Most health insurance policies are required to offer coverage for in vitro fertilization, or IVF.

Age group Insights

The 35-37 years segment dominated the surrogacy market in 2023.  When it comes to fertility, women in the 35–37 age range are frequently at a vital point. Naturally, many women can still become pregnant, but beyond the age of 35, fertility starts to fall more sharply. A surge in interest in surrogacy and other alternative reproductive methods may result from this fertility drop. Women in this age range typically decide on family planning with greater knowledge and consideration. Many people who are 35 to 37 years old have had time to consider their options for conception and may have attempted other assisted reproductive technologies (ART) but were unsuccessful, which led them to consider surrogacy.

The below 35 years segment is observed to be the fastest growing in the surrogacy market during the forecast period. The decision of when people and couples decide to start a family has changed significantly. Nowadays, many people put their schooling, professional advancement, and personal objectives first, delaying marriage and having children. Because fertility rates start to fall more dramatically around the age of 35, women and couples in their late 20s and early 30s are turning more and more to surrogacy. People under 35 are frequently in a more solid financial situation, which allows them to explore more expensive choices like surrogacy. This age group typically has extra money to spend, and because surrogacy offers family planning security, they are prepared to invest in it.

Service Provider Insights

The fertility clinics segment held a significant share and observed to sustain position the surrogacy market during the forecast period. Fertility clinics provide specific treatments that are intended for surrogate parents and individuals. These clinics have state-of-the-art reproductive technology and are skilled in handling complex reproductive procedures. This specialty draws those who need all-encompassing assistance from the first consultations to the end of the pregnancy process. Fertility clinics are typically well-versed in surrogacy's legal and regulatory requirements, which can differ significantly depending on the location. Their knowledge of these rules guarantees adherence and aids in handling the legal intricacies of surrogacy agreements. Their expertise and experience further cement their standing in the industry.

Regional Insights

North America dominated in the surrogacy market in 2023. The United States has created a strong legal structure permitting surrogacy agreements in North America. Many states have passed extensive legislation outlining intended parents', surrogates', and participating agencies' rights and obligations. Due to their unusually benevolent legal systems, states like California, Illinois, and New Hampshire are popular places for surrogacy. Some of the world's top fertility clinics and hospitals, providing state-of-the-art reproductive technologies and top-notch care, are in North America.

The sophisticated medical infrastructure guarantees the highly successful and safe execution of surrogacy procedures. In North America, surrogacy is becoming more and more commonplace. A growing number of people are thinking about surrogacy as a feasible option due to the improving social attitudes surrounding assisted reproductive technology.

Europe held a notable share in the surrogacy market during the forecast period. Strictly regulated European countries like the UK and France provide strong protections for intended parents, children, and surrogate mothers, among other parties. This produces a safe, well-balanced atmosphere that appeals to local and foreign customers. Surrogacy can be expensive, although several European nations charge less than the United States without sacrificing quality. For example, surrogacy services are less costly and come with good levels of care in countries like Greece and Ukraine.

  • According to the Human Fertilisation and Embryology Authority, 158 new conditions were approved for embryo testing.

Asia-Pacific shows lucrative growth in the surrogacy market during the forecast period. Asia-Pacific nations, including Vietnam, Thailand, and India, commonly offer surrogacy at lower costs than Western nations. This financial benefit draws a lot of foreign clients looking for less expensive surrogacy choices. The demand for surrogacy services is being driven by rising rates of infertility worldwide. Surrogacy is becoming a more desirable choice as more people and couples look for alternatives to conventional ways of conception. Rising investment through government for healthcare infrastructure is observed to promote market growth. The National Health Mission, which receives most of the Ministry's funding and sends money to states for certain initiatives, like bolstering health infrastructure, is managed by the Department of Health and Family Welfare.

Surrogacy Market Companies

  • IVIRMA
  • Boston IVF
  • Ovation Fertility
  • Extraordinary Conceptions
  • Bourn Hall International (TVM Capital Healthcare)
  • Circle Surrogacy
  • Growing Generations
  • New Hope Fertility Clinic

Recent Developments

  • In July 2024, The Mitera Agency Workbench is a platform created by the maternal-fetal medicine (MFM) telehealth business Mitera to streamline the case management procedure for fertility facilities and surrogacy agencies. The new platform makes controlling different services linked to third-party replication easy, flexible, and transparent.
  • In February 2024, Lupin Ltd introduced the United States' first-ever Ganirelix Acetate Injection. The purpose of this injection is to prevent women from experiencing early surges in luteinizing hormone.

Segments Covered in the Report

By Type

  • Gestational Surrogacy
  • Traditional Surrogacy

By Technology

  • Intrauterine Insemination (IUI)
  • In-Vitro Fertilization (IVF)
  • Classical/Standard IVF
  • Intracytoplasmic Sperm Injection (ICSI)
  • Others

By Age Group

  • Below 35 Years
  • 35-37 Years
  • 38-39 Years
  • 40-42 Years
  • 43-44 Years
  • Over 44 Years

By Service Provider

  • Hospitals
  • Fertility Clinics
  • Others

By Geography

  • North America
  • Asia Pacific
  • Europe
  • Latin America
  • Middle East & Africa

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Frequently Asked Questions

The global surrogacy market size is expected to increase USD 195.97 billion by 2034 from USD 17.55 billion in 2023.

The surrogacy market is anticipated to grow at a CAGR of over 24.53% between 2024 and 2034.

The major players operating in the surrogacy market are IVIRMA, Boston IVF, Ovation Fertility, Extraordinary Conceptions, Bourn Hall International (TVM Capital Healthcare), Circle Surrogacy, Growing Generations, New Hope Fertility Clinic, and Others,

The driving factors of the surrogacy market are the rising rates of infertility among couples globally and growing demand for surrogacy services.

North America region will lead the global surrogacy market during the forecast period 2024 to 2034.

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Meet the Team

Kesiya Chacko, a dedicated and insightful author whose expertise spans Healthcare and Cross Domain industries. With a Master's degree in Microbiology, Kesiya has built a strong scientific foundation that allows her to approach market research with both depth and precision. With over 5+ years of experience in the Market Research Industry, Kesiya has worked across various sectors, developing a nuanced understanding

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With over 14 years of experience, Aditi is the powerhouse responsible for reviewing every piece of data and content that passes through our research pipeline. She is not just an expert—she’s the linchpin that ensures the accuracy, relevance, and clarity of the insights we deliver. Aditi’s broad expertise spans multiple sectors, with a keen focus on ICT, automotive, and various other cross-domain industries.

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