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Sacramento Metro Area · Founded by a Former Surrogate
Surrogacy in Sacramento,California
Third-party medical screening. 3–6 month matching. $65,000–$90,000+ surrogate compensation. Your agency is already here.
Made in the USA Surrogacy, serving Sacramento from our office in Roseville, minutes from downtown.
“Matched in four months after a year elsewhere.”
— Rebecca T., intended parent
Sacramento has more surrogacy agencies claiming to serve it than almost any other city in Northern California. Most of them are headquartered somewhere else.
Made in the USA Surrogacy is based in the Sacramento metro area, with our office in Roseville, less than twenty minutes from downtown Sacramento. Our founder, Samantha Giermek, is a former surrogate who built this agency from the experience of going through the process herself. Every surrogate in our program lives in California. Our screening goes deeper than what most agencies are willing to describe publicly. And when we say our typical match takes 3–6 months, that's a number we stand behind—not a claim with nothing behind it.
Whether you're a Sacramento woman exploring surrogacy or intended parents researching local agencies, the rest of this page has the specifics that matter.
Local Resources
Surrogacy in Sacramento
Sacramento is California's capital and one of the strongest cities in the state for surrogacy support. The metro area has established fertility clinics, top-rated delivery hospitals, and a deep network of reproductive law attorneys—all within the state that has the most protective surrogacy laws in the country.
Fertility Clinics Serving Sacramento
California IVF Fertility Center
2590 Venture Oaks Way, Suite 103, Sacramento
Full IVF services, donor eggs, donor embryos, egg freezing, and genetic screening of embryos. One of Sacramento's longest-running fertility clinics.
Northern California Fertility Medical Center (NCFMC)
4320 Auburn Blvd, Sacramento · Established 1992
Four board-certified reproductive endocrinologists, open 365 days a year. Offers IVF, egg donation, and surrogacy services, with surgical options on-site.
UC Davis Health
Reproductive Endocrinology and Infertility
Academic medical center with research-driven fertility care, complex case management, and genetic counseling.
Kaiser Permanente Center for Reproductive Health
Sacramento
IVF, male infertility, and fertility preservation within Sacramento's largest integrated healthcare system.
Delivery Hospitals
UC Davis Medical Center
Level IV NICU (highest level), Sacramento's only nationally ranked academic hospital, OB team on-site 24/7.
Sutter Medical Center, Sacramento
Level IV NICU, U.S. News & World Report Top Maternity Hospital, Baby-Friendly Hospital, SOAP Center of Excellence.
Mercy General Hospital
Family Birth Center in the heart of Sacramento, delivering babies for over 80 years.
Methodist Hospital of Sacramento
Private birthing suites, doula services available during labor and delivery.
Kaiser Permanente South Sacramento
6600 Bruceville Rd
Serving South Sacramento and Elk Grove families.
California Legal Framework
California's legal protections for surrogacy are the strongest in the United States: pre-birth parentage orders, no post-birth adoption required, and full protections for all intended parents regardless of marital status or genetic connection.
Sacramento families and surrogates benefit from all of this plus immediate access to the clinics and hospitals listed above. Learn more about California surrogacy laws.
Our Difference
Why Families and Surrogates Choose Us
Every surrogacy agency will tell you they “serve Sacramento.” We want to tell you what specifically sets us apart, because the differences matter.
Third-Party
Medical Screening
Screening That Most Agencies Won't Describe
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. Beyond medical records, every candidate undergoes psychological assessment, financial stability verification, background screening, and unannounced nicotine testing.
We do this 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 legal complications. No conflicting regulations. No confusion 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 Sacramento, it also means a local agency that understands your community and your needs.
100%
California-Based
3–6 Months
Avg. Match Time
Matching in 3–6 Months, Not 6–12+
Many agencies quote 6–12 months or longer for matching. We typically match families 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. More matches means faster, better outcomes for everyone.
Founded by a Former Surrogate
Samantha Giermek became a surrogate before she started this agency. She understands the process from the inside: what support actually looks like, what questions keep you up at night, what agencies get wrong when they've never been through it themselves. That experience shapes everything from how we screen to how we communicate throughout your journey.
Learn more about our story.
“We had been with another agency for over a year without 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 Sacramento
If you're a Sacramento-area woman considering surrogacy, you're probably weighing two things: whether it's meaningful enough to commit your body and your time to, and whether it's worth it financially. At Made in the USA Surrogacy, we don't ask you to choose between those. Both matter.
Surrogate compensation ranges from $65,000 to $90,000+, depending on experience and individual journey factors. First-time surrogates start at $65,000+ base, experienced surrogates at $70,000+ base, with additional allowances throughout the process. That reflects what surrogacy actually requires of you—not what agencies think they can get away with paying.
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. This isn't a gauntlet—it's an investment in making sure you're set up for a safe, supported journey.
Matching
We connect you with intended parents based on values, preferences, and compatibility—not just who's next in line.
Medical clearance
Your fertility clinic—whether it's California IVF, NCFMC, or another Sacramento-area clinic—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 locked in before anything medical begins.
Pregnancy and delivery
Ongoing support from your case manager throughout. Sacramento has some of the best delivery hospitals in Northern California, including UC Davis Medical Center with its Level IV NICU.
Surrogacy is physically demanding, emotionally complex, and not for everyone. We're honest about that upfront. But for the right person, it's one of the most significant things you can do—and it provides 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 Sacramento
For intended parents, choosing a surrogacy agency is one of the highest-stakes decisions you'll make. You're trusting an organization to screen the person who will carry your child, manage the logistics of a journey that spans more than a year, and be there when things don't go as planned.
At Made in the USA Surrogacy, our office is in the Sacramento metro area, and our team is accessible—not behind a call center or a six-week email queue. That proximity matters when you're in the middle of a process that requires real communication.
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
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 evaluates the surrogate's readiness for embryo transfer.
Legal agreements
Both parties receive independent legal counsel. Contracts are finalized before any medical procedures begin.
Embryo transfer and pregnancy
Coordinated with your fertility clinic—whether California IVF, NCFMC, UC Davis, or another provider—with ongoing support from our team.
Birth and parentage
California's pre-birth parentage order means both parents are on the birth certificate before delivery. No post-birth adoption. No legal ambiguity.
The full journey from consultation to birth is typically 18–24 months. Our step-by-step surrogacy process page has the complete breakdown.
Investment
Sacramento 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+
Sacramento offers one advantage over surrogacy in higher-cost California metros like San Francisco or Los Angeles: the cost of living is lower, which can influence some ancillary expenses. California's clear legal framework can also simplify—and in some cases reduce—legal costs compared to states where surrogacy law is less defined.
Higher surrogate compensation isn't just a line item. It attracts more qualified candidates, which means better matches, fewer complications, and a smoother journey from start to finish. For a detailed breakdown, visit our full surrogacy cost guide.
Our Reach
Nearby Cities We Serve
Our office in Roseville serves families and surrogates throughout the greater Sacramento region.
Citrus Heights
~15 min from Sacramento
Elk Grove
~20 min from Sacramento
Folsom
~25 min from Sacramento
Rancho Cordova
~15 min from Sacramento
Rocklin
~25 min from Sacramento
Learn more about surrogacy in California across all the cities we serve.
Questions
Frequently Asked Questions
Is surrogacy legal in Sacramento, California?
Yes. California has the most protective surrogacy laws in the United States, codified under Family Code sections 7960–7962. Pre-birth parentage orders mean both intended parents are on the birth certificate before the baby is born. No post-birth adoption required, no waiting period. These protections apply to all intended parents regardless of marital status or genetic connection. See our full California surrogacy laws.
How much does surrogacy cost in Sacramento?
Total surrogacy costs typically start at $160,000 and can exceed $200,000 depending on the number of IVF transfer cycles, medical needs, and insurance situation. This includes surrogate compensation, agency fees, IVF, legal representation, and related expenses. See our full cost breakdown.
How do I become a surrogate in Sacramento?
You can start an application with Made in the USA Surrogacy—it takes about 10 minutes. General requirements include being 21–40, having carried at least one pregnancy to term, maintaining a healthy lifestyle, and living in a stable environment. Our team walks you through every step after you apply. See our full surrogate requirements.
What fertility clinics in Sacramento work with surrogacy agencies?
Sacramento has several experienced fertility clinics. California IVF Fertility Center on Venture Oaks Way and Northern California Fertility Medical Center (NCFMC) on Auburn Blvd are two of the most established, both offering full IVF and surrogacy services. UC Davis Health’s Reproductive Endocrinology program and Kaiser Permanente’s Center for Reproductive Health also serve Sacramento-area surrogacy journeys.
How much do surrogates earn in Sacramento, California?
At Made in the USA Surrogacy, surrogate compensation ranges from $65,000 to $90,000+, with first-time surrogates starting at $65,000+ base and experienced surrogates at $70,000+ base. Additional allowances cover maternity clothing, travel, childcare during appointments, and other journey-related expenses. See our full compensation details.
Start a Conversation
“I researched surrogacy agencies for months before I picked up the phone. What sold me on Made in the USA wasn't the website; it was the first conversation. They didn't rush me, didn't sugarcoat anything, and they knew Sacramento. Having a local team that I could actually meet with made this feel like a real relationship, not a transaction.”
— Maria L., surrogate, Sacramento
Whether you're early in your research or comparing agencies you've already spoken with, we'd rather give you honest answers than pressure you into a timeline you're not ready for.
For Surrogates
The application takes about 10 minutes. There's 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 help you figure out next steps—even if those steps aren't with us.
Free ConsultationMade in the USA Surrogacy is based in the Sacramento metropolitan area, with our office at 970 Reserve Dr, Ste 100, Roseville, CA 95678. Founded by Samantha Giermek, a former surrogate. Serving families and surrogates throughout Sacramento, Roseville, Citrus Heights, Elk Grove, Folsom, Rancho Cordova, and all of California.
