Best Surrogacy Agencies & Fertility Clinics in United States

Fertility Treatment & Surrogacy in the United States 

The United States stands as a premier global destination for fertility treatments and surrogacy arrangements for intended parents worldwide. With excellent international flight connections, well-established ART legislation, and decades of clinical expertise, the US offers a comprehensive fertility journey—from initial consultation to the moment you welcome your child.

The combination of cutting-edge medical technology, high success rates, and personalized patient care sets American fertility care apart. Leading US fertility clinics boast some of the world's highest IVF success rates, with many centers reporting live birth rates of 50-65% for women under 35.

Surrogacy laws in the US vary by state, creating diverse options for both domestic and international intended parents. While the US is widely recognized as one of the most surrogacy-friendly countries globally—welcoming singles, heterosexual couples, and LGBTQ+ families—regulations differ significantly between states. Some jurisdictions fully support all surrogacy arrangements with favorable pre-birth orders, while others have restrictions or prohibitions.

• IVF age limit: no federal limit
• ✓Commercial surrogacy: allowed allowed in most states, varies by state
• ✓Altruistic surrogacy: allowed
• ✓Single male parent: allowed allowed (NY), varies by state
• ✓Single female parent: allowed
• ✓Male couple: allowed
• ✓Female couple: allowed

Checked against the law on 8 October 2026