The Surrogacy Journey: Step-by-Step Guide for Intended Parents
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    Surrogacy
    February 5, 2026

    The Surrogacy Journey: Step-by-Step Guide for Intended Parents

    Written by:Nova Plus Editorial TeamPublished:Last reviewed:

    The Surrogacy Journey: A Complete Step-by-Step Guide


    Becoming a parent through surrogacy is one of the most meaningful journeys a person or couple can undertake. While the process involves multiple stages and careful coordination, understanding what to expect at each step can transform an overwhelming experience into an empowering one. This comprehensive guide walks you through every stage of the surrogacy journey in Georgia and Armenia, from your first inquiry to bringing your baby home.


    Step 1: Research and Initial Inquiry


    The surrogacy journey begins long before any medical procedures. It starts with research — learning about surrogacy laws, understanding your options, and identifying the right fertility concierge to guide you through the process.


    Choosing Your Destination


    Both Georgia and Armenia offer legally secure surrogacy programs, but they serve different needs:


  1. Georgia is ideal for married heterosexual couples seeking a streamlined process with immediate birth certificate issuance
  2. Armenia is ideal for single men, single women, and married couples seeking a more inclusive legal framework

  3. Nova Plus operates in both countries and can advise you on the best destination based on your personal circumstances.


    Making Initial Contact


    Contact Nova Plus through our website, email, or phone. Our multilingual team responds within 24 hours and can communicate in English, Georgian, Russian, and Chinese. During your initial inquiry, we gather basic information about your situation to prepare for a detailed consultation.


    Step 2: Free Consultation


    The consultation is a pivotal moment in your surrogacy journey. During this meeting — available in person at our Tbilisi office or online via video call — our team:


  4. Assesses your eligibility based on the legal requirements of Georgia or Armenia
  5. Discusses your medical history and any previous fertility treatments
  6. Explains the available programs including standard, guaranteed, and gender selection packages
  7. Provides a transparent cost breakdown so you understand every expense involved
  8. Answers all your questions about the process, timeline, and expectations

  9. There is absolutely no obligation after the consultation. Our goal is to ensure you have all the information needed to make an informed decision.


    Step 3: Medical Evaluation


    Once you decide to proceed, a comprehensive medical evaluation is the next step. This evaluation determines your fertility status and helps the medical team design an optimal treatment protocol.


    For Intended Mothers


  10. Hormonal panel (FSH, LH, AMH, estradiol, TSH, prolactin)
  11. Transvaginal ultrasound to assess ovarian reserve
  12. Uterine evaluation (if applicable to document the medical condition requiring surrogacy)
  13. Infectious disease screening
  14. General health assessment

  15. For Intended Fathers


  16. Semen analysis (count, motility, morphology)
  17. Infectious disease screening
  18. Genetic screening when indicated

  19. Where Can Testing Be Done?


    Tests can be performed at Nova Plus partner clinics in Tbilisi or Yerevan, at our partner clinic in Brooklyn, USA, or at qualified laboratories in your home country. Nova Plus reviews all results and coordinates with the medical team to develop your treatment plan.


    Step 4: Surrogate Matching


    Finding the right surrogate is one of the most important aspects of the surrogacy journey. Nova Plus maintains one of the largest surrogate databases in the Caucasus region, and every surrogate in our database has undergone thorough screening:


    Medical Screening


  20. Complete physical examination
  21. Reproductive health assessment
  22. Hormonal testing
  23. Infectious disease screening
  24. Uterine evaluation via ultrasound

  25. Psychological Evaluation


  26. Assessment of emotional readiness for surrogacy
  27. Evaluation of support systems and family stability
  28. Understanding of the surrogacy process and legal implications
  29. Counseling on the emotional aspects of carrying a child for another family

  30. Background Verification


  31. Identity verification
  32. Medical history review
  33. Previous pregnancy outcomes
  34. Lifestyle assessment

  35. Nova Plus presents surrogate profiles to intended parents for selection. Our team guides you through the profiles, explaining relevant medical and personal details to help you make a confident choice.


    Step 5: Legal Contracts


    Before any medical procedures begin, comprehensive legal contracts are prepared and signed by all parties. These contracts are drafted by specialized reproductive law attorneys and cover:


  36. Parental rights — establishing that the intended parents are the legal parents of the child
  37. Financial obligations — detailed breakdown of surrogate compensation, medical expenses, and contingencies
  38. Medical protocols — agreed-upon treatment plans and clinic selection
  39. Behavioral commitments — lifestyle requirements for the surrogate during pregnancy
  40. Termination provisions — circumstances under which the agreement may be modified
  41. Confidentiality — protecting the privacy of all parties

  42. All contracts comply with the laws of the relevant jurisdiction (Georgia or Armenia) and are enforceable in local courts.


    Step 6: IVF and Embryo Transfer


    With contracts signed and all parties prepared, the medical phase begins:


    Egg Retrieval


    If the intended mother is providing her own eggs, she undergoes ovarian stimulation (10–14 days) followed by egg retrieval. If a donor is used, the donor undergoes this process instead.


    Fertilization


    Eggs are fertilized with the intended father's sperm (or donor sperm) using IVF or ICSI. Resulting embryos are cultured for 3–5 days.


    Genetic Testing (Optional)


    Preimplantation Genetic Testing (PGT) can be performed to screen embryos for chromosomal abnormalities and, if desired, determine gender. Nova Plus coordinates PGT options where medically indicated and legally permitted; outcomes cannot be guaranteed.


    Embryo Transfer


    The highest quality embryo is transferred to the surrogate mother's prepared uterus. This is a simple, painless procedure that takes only minutes. Additional embryos can be cryopreserved for future transfers if needed.


    Step 7: Pregnancy Confirmation and Monitoring


    Pregnancy Test


    Approximately 10–14 days after embryo transfer, a blood test confirms whether pregnancy has been achieved. If the first transfer is unsuccessful, a second transfer can be arranged using frozen embryos.


    Ongoing Monitoring


    Once pregnancy is confirmed, Nova Plus coordinates all prenatal care:


  43. Regular ultrasounds to monitor fetal development
  44. Medical appointments at partner clinics
  45. Monthly updates to intended parents with detailed reports
  46. Emergency support — our team is available 24/7 for any concerns

  47. Intended parents are welcome to attend ultrasound appointments and other prenatal visits. Nova Plus can arrange travel and accommodation for these visits.


    Step 8: Preparing for Birth


    As the due date approaches, Nova Plus helps intended parents prepare:


  48. Travel arrangements — flights, accommodation, and airport transfers
  49. Hospital coordination — ensuring the partner hospital is prepared for the delivery
  50. Legal preparation — gathering all documents needed for birth registration
  51. Emotional preparation — guidance on what to expect during and after delivery

  52. We recommend that intended parents arrive 2–4 weeks before the expected due date to allow time for final preparations and to be present for the birth.


    Step 9: Birth and Immediate Post-Birth Period


    The Delivery


    Nova Plus coordinates with the hospital to ensure a smooth delivery experience. Intended parents can be present in the hospital during delivery (subject to hospital policies and the surrogate's comfort).


    Meeting Your Baby


    The moment you meet your baby for the first time is the culmination of your entire surrogacy journey. Nova Plus ensures this moment is as special as possible, coordinating with hospital staff to facilitate immediate skin-to-skin contact and bonding.


    Post-Birth Medical Care


    Both the baby and the surrogate mother receive comprehensive post-birth medical care. The baby undergoes standard newborn screenings, and the surrogate receives follow-up care to ensure her complete recovery.


    Step 10: Documentation and Going Home


    The final stage of the surrogacy journey involves crucial administrative and legal steps:


    Birth Registration


    In Georgia, the intended parents are listed directly on the birth certificate — no adoption or court order required. In Armenia, the process may involve additional administrative steps, but Nova Plus manages all documentation on your behalf.


    Passport and Citizenship


    For international intended parents, obtaining travel documents for the baby is essential. Nova Plus assists with:


  53. Embassy or consulate appointments for passport applications
  54. Citizenship documentation based on the intended parents' nationality
  55. DNA testing if required by the intended parents' home country

  56. Exit Procedures


    Nova Plus coordinates all exit procedures, ensuring that intended parents and their baby can travel home smoothly. This includes:


  57. Obtaining necessary exit permits
  58. Arranging comfortable return travel
  59. Providing documentation packets for immigration authorities in the home country

  60. Timeline: How Long Does the Surrogacy Journey Take?


    The total timeline for a surrogacy program varies, but intended parents can generally expect:


  61. Consultation to contract signing: 2–6 weeks
  62. Medical procedures and embryo transfer: 4–8 weeks
  63. Pregnancy: 9 months (approximately 38–40 weeks)
  64. Post-birth documentation: 2–8 weeks depending on nationality

  65. Total: Approximately 12–15 months from initial consultation to going home with your baby.


    Why Choose Nova Plus for Your Surrogacy Journey?


    Nova Plus is Georgia's first independent international fertility concierge. We provide:


  66. Complete end-to-end management of your surrogacy journey
  67. One of the largest surrogate and donor databases in the region
  68. Partnerships with top-tier clinics in Georgia and Armenia
  69. Experienced legal team specializing in reproductive law
  70. 24/7 multilingual support in English, Georgian, Russian, and Chinese
  71. Concierge services including accommodation, transfers, dining, and cultural experiences
  72. US presence — representation in Brooklyn, New York for American intended parents

  73. Your journey to parenthood is deeply personal, and at Nova Plus, we treat it that way. Contact us today for a free consultation and take the first step toward building your family.

    Book a Free Consultation

    Ready to start your journey to parenthood? Our team is here to help.

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    Medical & Legal References

    The statements on this page are supported by the official sources below. Primary legal documents are linked in their original publication and may open in another language.

    1. Law of Georgia on Health Care — Articles 141, 143, 144Legislative Herald of Georgia (Matsne) · Georgia · 1997
    2. Law of the Republic of Armenia on Human Reproductive Health and Reproductive Rights — Articles 11, 12, 13, 15ARLIS — Legal Information System of Armenia · Armenia · 2002