Now accepting new surrogate applications in California—See if you qualify →

About Made in the USA Surrogacy
Founded by a former surrogate. Built for the families and women who deserve better.
Sacramento, CA
Based
8+ Years
Serving Families
100+
Families Matched
$65,000+
Surrogate Compensation
About Made in the USA Surrogacy
Founded by a former surrogate. Built for the families and women who deserve better.
Started by a Surrogate Who Knew It Could Be Better
In 2017, Samantha Giermek was a gestational surrogate. She loved the experience of helping a family — the purpose behind it was real. But she spent most of that journey managing things on her own. Coordinating appointments, chasing down updates, filling communication gaps that left her frustrated. She's a natural organizer, so she figured it out. But she shouldn't have had to.
She finished that journey knowing two things: surrogacy is one of the most meaningful things a person can do, and the agencies managing the process weren't keeping up with the people inside it.
So she built her own.
Made in the USA Surrogacy isn't run by investors or hospital administrators. It's run by someone who has been on the other side — who knows what it feels like to carry a baby for someone else, to wait for updates that don't come, to wonder if anyone is actually paying attention.
That's why Samantha stays personally involved in every case. Not as a figurehead. As the person who picks up the phone, reviews surrogate profiles, coordinates with your legal team, and checks in when things get quiet. She keeps the caseload small enough to make that possible.
Samantha Giermek
CEO & Founder
B.A. Psychology, University of South Florida

Samantha Giermek
CEO & FounderHow We Work
Personal Attention Over Volume
We keep our active caseload small on purpose. Every surrogate and every family works with a consistent team — not a rotation of coordinators, not a call center. When you call, someone who knows your name and your situation picks up.
Honesty Over Marketing
Surrogacy is expensive, emotionally complex, and not always straightforward. We don't pretend otherwise. We publish real compensation numbers, real cost ranges, and real timelines — because you deserve to make decisions with actual information, not vague reassurances.
Thorough Preparation for Everyone
Every surrogate in our program completes comprehensive medical evaluation, including full pregnancy history review by a third-party IVF nurse, psychological assessment, and background verification. This process protects surrogates and intended parents alike — and it's why our matches hold.
Two Journeys. One Team.
For Women Considering Surrogacy
You're not just an applicant in a pipeline. From your first conversation with us through postpartum, you'll work with a team led by someone who has been exactly where you are — and who built this agency because she believed surrogates deserved more support, not less.
- •$65,000+ base compensation — among the highest in the industry, because what you're doing matters
- •24/7 support from a team that includes a former surrogate
- •Personal case management from application through postpartum
- •Comprehensive preparation — we guide you through every step of screening, matching, and medical clearance
- •California-based program — the strongest legal protections for surrogates in the country
For Families Ready to Start
You've probably spent a long time getting here. We don't take that lightly. Every family we work with gets a dedicated case manager, honest answers about cost and timeline, and a team that's small enough to actually know your story.
- •Sacramento, CA headquarters — California's surrogacy laws provide the strongest legal framework in the U.S.
- •Pre-birth parentage orders — both parents' names on the birth certificate before your baby is born
- •Transparent pricing — flat agency fee, no hidden costs, no finder's fees
- •Personal case management — your team knows your name, your preferences, and your situation
- •Thorough surrogate preparation — comprehensive medical, psychological, and background evaluation for every surrogate
From the Families and Surrogates We've Worked With

“The level of communication between you and the agency is amazing. To me it is a more personal interaction and process rather than commercialized. You certainly don't feel like ‘just another client.’ Samantha is on top of things, checking in to make sure things are going well, and vice versa, if you feel you need to check in with something she is always there, with an answer or out to get one. I'm currently embarking on my 2nd GC journey and couldn't be happier with the agency I chose.”
Courtney Smith
Repeat Surrogate · Google Review
“Samantha was great to work with. We were in a hurry to match like most IPs are. Our previous agency had an 18 month wait time. We reached out to multiple agencies and were immediately presented with the most perfect surrogate for our family by Samantha and Made in the USA Surrogacy. In just over a year we had our baby girl. The whole process was seamless and Samantha was always very responsive and helpful.”
Kristin H.
Intended Parent · Google Review
“I have partnered with Made in the USA Surrogacy agency twice for my journeys and it has been a smooth experience both times. Samantha is easily accessible to answer my questions and concerns which makes the whole journey comfortable as a surrogate. I would highly recommend this surrogacy agency when choosing who you want to partner with. They're supportive and reliable.”
Vanessa Buzo
Repeat Surrogate · Google Review

“My name is Sam and I am a single dad. I started working with Samantha in 2021 until now and still in progress. Action speaks for a thousand words and this shows how great Samantha is. The excellent services Made in the USA Surrogacy provides and the knowledge as well as experience of Samantha, I am continuing working with her for my 2nd baby. There are a lot of options out there and I still decided to choose Made in the USA Surrogacy for another round of surrogacy.”
Sam Tran
Intended Parent, 2nd Journey · Google Review
Headquartered in Sacramento, California
California has the most established surrogacy legal framework in the United States. Pre-birth parentage orders mean both parents' names are on the birth certificate before the baby is born — regardless of genetic connection or marital status. No post-birth adoption. No waiting period.
Made in the USA Surrogacy is headquartered in Sacramento and works primarily with California-based surrogates — close to top fertility clinics and within the state's legal protections. We also work with intended parents nationwide and internationally.
Start a Conversation
Whether you're considering surrogacy as a surrogate or as an intended parent, the first step is the same — a real conversation with our team. No commitment. No pressure. Just honest answers about what the process looks like and whether we're the right fit.
No commitment required. We'll tell you if we're not the right fit — we'd rather be honest upfront than three months in.