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Monterey & the Central Coast · Founded by a Former Surrogate
Surrogacy in Montereyand Monterey County
Third-party medical screening. 3–6 month matching. $65,000–$90,000+ surrogate compensation. The Central Coast's only full-service IVF center is 10 minutes away.
Made in the USA Surrogacy, Sacramento-based, serving Monterey County and California's Central Coast.
“The screening gave us confidence we hadn't felt before.”
— Rebecca T., intended parent
Monterey Bay IVF is the only full-service fertility center on the California coast between San Jose and Santa Barbara. Natividad Medical Center has the only Level III NICU in Monterey County. And Made in the USA Surrogacy coordinates surrogacy journeys through both of them.
We're headquartered in Roseville, not on the Central Coast. We're upfront about that. But our founder, Samantha Giermek, is a former surrogate who built this agency from personal experience, and our team works with Monterey-area fertility clinics, delivery hospitals, and reproductive attorneys so that surrogates and intended parents in Monterey County have a surrogacy partner who knows the local infrastructure—not one that swapped “Monterey” into a template.
Whether you're a woman in Monterey County considering surrogacy or intended parents searching for an agency that can name the clinics you'll actually work with, this page has the specifics other surrogacy agencies leave out.
Local Resources
Surrogacy in Monterey, California
Monterey sits on California's Central Coast, roughly 120 miles south of San Francisco and 60 miles south of San Jose. For surrogacy, what matters is medical infrastructure—and Monterey County has it. California's surrogacy laws provide the strongest legal framework in the United States.
Fertility Clinics in the Monterey Area
The Fertility & Gynecology Center, Monterey Bay IVF
9833 Blue Larkspur Lane, Monterey
Led by Dr. Edward Ramirez, MD, FACOG, a board-certified reproductive endocrinologist. The only full-service IVF center on the California coast between San Jose and Santa Barbara, serving the county since 1990 with over 35 years of fertility care.
Reproductive Science Center (RSC)
Monterey Monitoring Location
RSC Bay Area operates an Open Access monitoring site in Monterey, allowing local surrogates to complete routine ultrasound and blood work without traveling to San Jose or the Bay Area.
Delivery Hospitals in Monterey County
Community Hospital of the Monterey Peninsula (CHOMP)
Part of Montage Health, CHOMP's Family Birth Center handles 1,000–1,200 deliveries per year. Level II Specialty Care Nursery with 8 beds, staffed through a neonatology partnership with UCSF Benioff Children's Hospital.
Natividad Medical Center
1441 Constitution Blvd, Salinas (~25 min from Monterey)
The highest-level NICU in Monterey County—a Level III unit with neonatal nurse practitioners in-house 24/7 and a board-certified neonatologist on call. Nationally recognized for maternity care by Newsweek and designated a Blue Distinction Center for Maternity Care by Anthem Blue Cross.
California Legal Framework
Pre-birth parentage orders mean both parents are on the birth certificate before the baby is born, regardless of marital status or genetic connection. No post-birth adoption. No waiting period. No uncertainty.
Monterey families and surrogates benefit from California's strongest-in-the-nation legal protections. Learn more about California surrogacy laws.
Our Difference
Why Families and Surrogates in Monterey Choose Us
Every agency page you visit will tell you they offer “comprehensive screening” and “great compensation.” Here's what we tell you that they won't.
Third-Party
Medical Screening
Screening That Protects Everyone Involved
Every surrogate in our program completes comprehensive medical evaluation including third-party IVF nurse review of complete OB/GYN records for all pregnancies—not just the most recent. Every candidate also undergoes psychological assessment, financial stability verification, background screening, and unannounced nicotine testing.
We invest in this level of thoroughness because the quality of the match matters to everyone involved: surrogates, intended parents, and the baby. A thorough process protects all three.
Every Surrogate Lives in California
No cross-state coordination. No conflicting laws. No ambiguity about which legal framework applies. When your surrogate is a California resident, the entire journey stays within the strongest legal protections in the country.
For surrogates in Monterey County, that means local monitoring at RSC's Monterey location or Monterey Bay IVF, without weekly drives to the Bay Area.
100%
California-Based
3–6 Months
Avg. Match Time
Matching in 3–6 Months, Not 6–12+
The industry average for surrogate matching is 6–12 months. Some intended parents wait over a year. We typically match in 3–6 months because our surrogate compensation—$65,000+ base for first-time surrogates—attracts a deeper pool of qualified candidates.
More candidates means more potential matches and faster, better outcomes for everyone.
Founded by a Former Surrogate
Samantha Giermek became a surrogate before she built this agency. She knows what the process feels like from the inside—what support actually looks like versus what agencies claim it looks like. That experience shapes everything from how we screen to how we communicate. Read more about our story.
“We spent over a year with another agency and never got a match. Samantha's team matched us in four months. The screening gave us confidence we hadn't felt before, and the communication was completely different from what we'd experienced.”
— Rebecca T., intended parent
Since 2017
Surrogate-Founded
For Surrogates
Become a Surrogate in Monterey
If you're considering surrogacy, you're weighing two things at once: whether it's meaningful enough to commit your body and time to, and whether it's financially worth it. At Made in the USA Surrogacy, we don't ask you to choose. Both matter.
Surrogate compensation: $65,000–$90,000+. First-time surrogates start at $65,000+ base. Experienced surrogates start at $70,000+. On the Central Coast, where the cost of living is high but more manageable than San Francisco or Silicon Valley, that compensation carries real weight for your family.
Benefits of Becoming a Surrogate
Full health insurance coverage
All pregnancy-related medical care, paid by the intended parents.
Monthly allowances
Maternity clothing, housekeeping, and childcare during appointments.
Independent legal representation
Paid for by intended parents, to protect your rights throughout the process.
Dedicated case manager support
From application through postpartum, including a direct line to someone who understands what you're going through.
The experience itself
Surrogacy is one of the most meaningful things you can do for another family, and the relationships built during the journey often last well beyond delivery.
What the Process Looks Like
Application
Takes about 10 minutes. We review your basic qualifications and health history.
Screening
Medical records review, psychological assessment, background check. Our team walks you through every step.
Matching
We connect you with intended parents based on values, preferences, and compatibility.
Medical clearance
Your fertility clinic, potentially Monterey Bay IVF or another clinic your intended parents work with, confirms you're ready for the transfer process.
Legal
Independent legal representation for you, paid for by the intended parents. Your rights and compensation are formalized before anything medical begins.
Pregnancy and delivery
Ongoing support from your case manager throughout, with delivery at a Monterey County hospital like CHOMP or Natividad.
Surrogacy is physically demanding, emotionally complex, and not for everyone. We're honest about that. But for the right person, it's one of the most significant things you can do—and it can provide real financial stability for your family while you do it.
For full details, visit our surrogate requirements page or see the complete compensation breakdown.
For Intended Parents
Find a Surrogate in Monterey
For intended parents, choosing a surrogacy agency is one of the most consequential decisions in the process. You're trusting an organization to screen the person who will carry your child, manage the logistics of a year-long journey, and be available when things don't go as planned.
We bring a 99.3%–99.5% live birth success rate once a surrogate is medically cleared and matched, because our screening process catches complications before they start, not after.
Our surrogates complete one of the most comprehensive screening processes in the industry. Combined with a 99.3%–99.5% success rate on embryo transfers with our surrogates, that screening translates to outcomes you can feel confident about.
How the Process Works for Intended Parents
Free consultation
A conversation about your goals, timeline, and questions. No pressure, no commitment.
Matching
We identify surrogate candidates who align with your preferences, values, and medical needs. Typical timeline: 3–6 months.
Medical clearance
Your fertility clinic, whether that's Monterey Bay IVF, a Bay Area clinic, or a center elsewhere, evaluates the surrogate's readiness for embryo transfer.
Legal agreements
Both parties get independent legal counsel. Contracts are finalized before any medical procedures.
Embryo transfer and pregnancy
Coordinated with your fertility clinic, with ongoing support from our team.
Birth and parentage
California's pre-birth parentage order means you're on the birth certificate before delivery.
If you're traveling to Monterey for the journey, Monterey Peninsula Airport (MRY) offers direct flights from several major hubs, and the area's world-class hospitality means you'll have no shortage of accommodations during key milestones.
The full journey from consultation to birth is typically 18–24 months. Our step-by-step surrogacy process page has the complete breakdown.
Investment
Monterey Surrogacy Costs
Total surrogacy investment typically starts at $160,000+, including surrogate compensation, agency fees, IVF and medical expenses, legal fees, and insurance.
Total Estimated Investment
$160,000+
California's clear legal framework can simplify, and in some cases reduce, legal costs compared to states where surrogacy law is less established. And higher surrogate compensation isn't just a cost—it attracts more qualified candidates, which can mean fewer complications and a smoother journey.
For a full breakdown, visit our detailed cost guide.
Central Coast Coverage
Serving the Central Coast and Beyond
We serve families and surrogates throughout Monterey, the Central Coast, and all of California.
San Jose
Bay Area
Los Angeles
Southern California
Santa Cruz
Central Coast
Learn more about surrogacy in California across all the cities we serve.
Questions
Frequently Asked Questions
How do I become a surrogate in Monterey?
Start with a 10-minute application through Made in the USA Surrogacy. You’ll need to be 21–40 years old, have carried at least one pregnancy to term, have a healthy pregnancy history, be a non-smoker, and have a stable living situation. Our team reviews your application and walks you through screening, matching, and every step that follows. See our full surrogate requirements.
How much does surrogacy cost in Monterey, California?
Total surrogacy costs typically start at $160,000 and can exceed $200,000 depending on medical needs and the number of transfer cycles. This includes surrogate compensation, agency fees, IVF, legal fees, and insurance. See our full cost breakdown.
Are there surrogacy agencies on the Central Coast?
Made in the USA Surrogacy is a Sacramento-based agency that actively serves Monterey County and the Central Coast. While most surrogacy agencies are based in Los Angeles or San Francisco, our team coordinates with Monterey-area fertility clinics like Monterey Bay IVF and delivery hospitals like CHOMP and Natividad Medical Center. See our full surrogacy in California.
How much do surrogates earn in Monterey County?
At Made in the USA Surrogacy, base compensation ranges from $65,000 to $90,000+, depending on experience and journey specifics. First-time surrogates start at $65,000+ and experienced surrogates start at $70,000+, with additional allowances throughout the journey. See our full compensation details.
What fertility clinics in Monterey work with surrogacy agencies?
The Fertility & Gynecology Center, Monterey Bay IVF, led by Dr. Edward Ramirez, is the primary full-service IVF center in Monterey and the only one on the California coast between San Jose and Santa Barbara. Reproductive Science Center (RSC) also operates a monitoring location in Monterey for local blood work and ultrasound appointments. CHOMP and Natividad Medical Center handle deliveries, with Natividad offering the county’s only Level III NICU.
Start a Conversation
“We spent over a year with another agency and never got a match. Samantha's team matched us in four months. The screening gave us confidence we hadn't felt before, and the communication was completely different from what we'd experienced.”
— Rebecca T., intended parent
Whether you're exploring surrogacy for the first time or comparing agencies that serve the Central Coast, we'd rather answer your questions honestly than pitch you on a decision you're not ready to make.
For Surrogates
The application takes about 10 minutes. No commitment. It's the first step in finding out if surrogacy is right for you.
See If You QualifyFor Intended Parents
A free consultation is a conversation, not a sales call. We'll walk through your situation, answer your questions, and help you figure out next steps—even if those steps aren't with us.
Free ConsultationMade in the USA Surrogacy is headquartered in Roseville, California at 970 Reserve Dr, Ste 100. Founded by Samantha Giermek, a former surrogate. Serving families and surrogates throughout Monterey, Carmel, Pacific Grove, Seaside, Marina, Salinas, Watsonville, and all of California.
