Samantha Giermek
Founder, Made in the USA Surrogacy
“Samantha Giermek is the founder of Made in the USA Surrogacy, a Sacramento-based surrogacy agency dedicated to connecting intended parents with compassionate surrogates across the United States.”
What Makes a Great Surrogate? The Qualities That Matter Most
The medical qualifications for surrogacy are clear — age range, BMI, pregnancy history, health screenings. Those are the baseline. But the surrogates who have truly exceptional experiences, and who make the journey exceptional for their intended parents, tend to share a set of personal qualities that go beyond any checklist.
If you're wondering whether you're "the right kind of person" for surrogacy, here's what we've seen matter most across hundreds of journeys.
Strong Communication
This is probably the single most important quality in a surrogate. The surrogacy journey is built on trust between you and your intended parents, and trust is built through communication. That means being responsive to messages. Sharing updates about appointments, even when there's nothing dramatic to report. Being honest when something is hard or when you need support.
It also means being willing to have conversations that might feel uncomfortable — about boundaries, about preferences, about expectations that don't perfectly align. The surrogates who communicate openly tend to have stronger relationships with their intended parents and smoother journeys overall.
You don't need to be a constant texter or a social butterfly. You just need to be someone who shows up, speaks honestly, and doesn't let things build up unspoken.
Patience with the Process
Surrogacy takes time. The medication protocol, the waiting periods between transfer and pregnancy test, the slow buildup of the first trimester, the long months of pregnancy — none of it moves fast. And there are moments where things stall entirely: a failed transfer that resets the timeline, a medication adjustment that adds weeks, a legal contract negotiation that drags on.
The surrogates who handle the journey best are the ones who've made peace with the pace. They understand that delays don't mean something is wrong — they mean the process is doing what it needs to do. That patience isn't just good for you. It's good for the intended parents too, who are often more anxious about the timeline than you are.
Genuine Empathy for the Intended Parents
The families you'll work with have usually been through a long, painful road to get to surrogacy — years of infertility, failed treatments, miscarriages, emotional exhaustion. By the time they're working with a surrogate, they've invested an enormous amount of hope into this process.
The best surrogates hold that awareness gently. They understand that when an intended parent texts too often or asks a lot of questions, it's not because they don't trust you — it's because they've been burned by disappointment before and they're holding their breath. Empathy for what they've been through makes you a more compassionate partner in the journey, and it makes the relationship deeper for both sides.
Reliability and Follow-Through
The surrogacy process involves a lot of logistics — appointments, medication schedules, legal deadlines, communication check-ins. Your intended parents and your agency are counting on you to show up, follow through, and stay on top of what's asked of you.
This doesn't mean you need to be perfect. Life happens. Kids get sick, schedules shift, things fall through the cracks. What matters is that you take the commitment seriously and communicate proactively when something changes. If you can't make an appointment, you reschedule right away. If you miss a dose, you call your clinic. If life gets overwhelming, you tell your case manager.
Reliability isn't about never making a mistake. It's about being someone people can count on.
Emotional Self-Awareness
Surrogacy is emotionally complex. The hormones from fertility medication can amplify your emotions. Carrying a baby that isn't yours brings up feelings you might not expect. The postpartum period — recovering from birth without a baby in your arms — is a unique emotional experience that even the most prepared surrogates find challenging.
The quality that helps most is self-awareness. Knowing when you're feeling overwhelmed and asking for help. Knowing when the hormones are affecting your mood and giving yourself grace. Knowing how to process complex emotions without letting them derail the journey or the relationship with your intended parents.
You don't need to have everything figured out. You just need to be someone who pays attention to how you're feeling and is willing to talk about it when it matters.
The Common Thread
If you look at all five of these qualities, they share a common thread: they're all about showing up — for the intended parents, for the process, and for yourself. The best surrogates aren't extraordinary because they're perfect. They're extraordinary because they're present, honest, and committed.
If that sounds like you, you might be exactly the kind of person this journey is meant for.
