Now accepting new surrogate applications in California—See if you qualify →
San Francisco & the Bay Area · Founded by a Former Surrogate
Surrogacy in San Franciscoand the Bay Area
Third-party medical screening. 3–6 month matching. $65,000–$90,000+ surrogate compensation. What the research really looks like.
Made in the USA Surrogacy, Sacramento-based, serving San Francisco, the Bay Area, and all of California.
“The only agency that could explain their screening in detail.”
— David and Erin R., intended parents, SF
San Francisco has no shortage of surrogacy agencies with a Bay Area mailing address. Finding one that will tell you exactly how they screen surrogates, how long matching actually takes, or which fertility clinics they coordinate with is a different conversation entirely.
Made in the USA Surrogacy is headquartered in Sacramento, about 90 miles from the city. Every surrogate in our program lives in California, many of them in the Bay Area with proximity to San Francisco's fertility clinics. Our screening goes deeper than most agencies publish. Our matching timeline is backed by real data. And our founder, Samantha Giermek, built this agency from personal surrogacy experience.
Whether you're considering becoming a surrogate in the Bay Area or you're intended parents looking for an agency you can trust with this decision, here are the specifics most surrogacy agencies leave out.
Local Resources
Surrogacy in San Francisco, California
The Bay Area is home to some of the most respected fertility clinics in the country. For gestational surrogacy, your fertility clinic handles the IVF cycle, embryo transfer, monitoring, and coordination with your OB through delivery. California's surrogacy laws provide the strongest legal framework in the United States.
Fertility Clinics in San Francisco
Pacific Fertility Center (PFC)
Northern California's premier fertility center with its own egg bank. PFC has deep gestational surrogacy experience and provides referrals to established surrogacy agencies.
UCSF Center for Reproductive Health
Mission Bay, San Francisco
Academic medical center with research-driven protocols. UCSF offers comprehensive gestational carrier services at their Mission Bay location.
Spring Fertility San Francisco
A modern, tech-forward clinic founded in 2016, with a full range of fertility services including gestational surrogacy support.
CCRM San Francisco
Part of the national CCRM network with consistently high success rates and advanced reproductive technology.
Bay IVF
A boutique clinic prioritizing individualized care with deep surrogacy experience.
Reproductive Science Center of the SF Bay Area
Comprehensive fertility treatment including egg donation and surrogacy coordination.
Delivery Hospitals
UCSF Mission Bay Medical Center
Level IV NICU, the highest designation. 24-hour OB and neonatal coverage at a nationally ranked academic medical center.
California Pacific Medical Center (CPMC) Van Ness
Level III NICU with comprehensive maternity services.
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.
San Francisco families and surrogates benefit from California's strongest-in-the-nation legal protections plus access to world-class fertility clinics and delivery hospitals. Learn more about California surrogacy laws.
Our Difference
Why Families and Surrogates in the Bay Area Choose Us
Other agencies will describe their screening as “comprehensive” and their matching as “efficient.” Here's what we tell you that they don't.
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. Every candidate also 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 coordination. No conflicting legal frameworks. When your surrogate is a California resident with proximity to Bay Area fertility clinics, the journey stays within the strongest surrogacy legal protections in the country.
For surrogates, it means local support from an agency rooted in Northern California.
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, and what women need to know before they commit. That experience informs our screening, our case management, and the way we communicate. Read more about our story.
“I talked to three Bay Area agencies before I found MUSA. They were the only ones who could explain their screening process in detail, not just say it was ‘thorough.’ That's what made me trust them with something this important.”
— David and Erin R., intended parents, San Francisco
Since 2017
Surrogate-Founded
For Surrogates
Become a Surrogate in San Francisco
If you're a woman in the Bay Area thinking about surrogacy, you're weighing whether it's meaningful enough to give your body and your time, and whether the financial side reflects what the commitment actually requires. We don't ask you to pick one or the other. Both matter.
Surrogate compensation: $65,000–$90,000+. First-time surrogates start at $65,000+ base. Experienced surrogates start at $70,000+. Total compensation, including monthly allowances, milestone payments, and full coverage of pregnancy-related expenses, reaches $90,000 or more depending on your situation.
What the Process Looks Like
Application
Takes about 10 minutes. We review your basic qualifications and health history.
Screening
Medical records review by a third-party IVF nurse, psychological assessment, background check, and more. Our team guides you through every step.
Matching
We connect you with intended parents based on values, preferences, and compatibility.
Medical clearance
Your fertility clinic, often one of the Bay Area clinics listed above, confirms readiness for embryo transfer.
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, from transfer through postpartum.
Surrogacy is physically demanding, emotionally complex, and not for everyone. We're upfront 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 along the way.
For full details, visit our surrogate requirements page or see the complete compensation breakdown.
For Intended Parents
Find a Surrogate in San Francisco
For intended parents, choosing a surrogacy agency is one of the most consequential decisions in the process. You need an organization that screens thoroughly, communicates transparently, and stays available when the plan changes.
At Made in the USA Surrogacy, every surrogate has cleared comprehensive medical, psychological, and background screening before being presented to intended parents. We review complete OB/GYN records for every pregnancy, not abbreviated summaries. Our gestational surrogacy success rate is 99.3%–99.5%, and that reflects the depth of our screening process.
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.
Matching
We identify surrogate candidates aligned 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.
Embryo transfer and pregnancy
Coordinated with your fertility clinic, with ongoing support.
Birth and parentage
California's pre-birth parentage order means both parents are on the birth certificate before delivery.
The full journey from consultation to birth is typically 18–24 months. Our step-by-step surrogacy process page has the complete breakdown.
Investment
San Francisco Surrogacy Costs
Total surrogacy investment typically starts at $160,000+, covering surrogate compensation, agency fees, IVF and medical expenses, legal fees, and insurance.
Total Estimated Investment
$160,000+
Bay Area costs can trend higher than other parts of California due to elevated cost of living, premium medical services, and higher logistics costs. Higher surrogate compensation reflects the true demands of surrogacy and attracts more qualified, committed candidates, which can mean fewer complications and a smoother journey.
For a full breakdown, visit our detailed cost guide.
Bay Area Coverage
Serving the Entire Bay Area
We serve families and surrogates throughout San Francisco, the East Bay, South Bay, and the Peninsula.
Oakland
East Bay
Berkeley
East Bay
Palo Alto
South Bay / Peninsula
San Mateo
Peninsula
San Jose
South Bay
Learn more about surrogacy in California across all the cities we serve.
Questions
Frequently Asked Questions
Is surrogacy legal in San Francisco, California?
Yes. Gestational surrogacy is fully legal in California under Family Code Sections 7960–7962. San Francisco courts routinely grant pre-birth parentage orders listing both intended parents on the birth certificate before birth, regardless of marital status or genetic connection. See our full California surrogacy laws.
How much does surrogacy cost in San Francisco?
Total surrogacy costs typically start at $160,000 and can exceed $200,000 depending on medical needs and the number of IVF transfer cycles. Bay Area costs may trend slightly higher due to the region’s elevated cost of living. See our full full cost breakdown.
How do I become a surrogate in San Francisco?
Start with an application that takes about 10 minutes. Requirements include being 21–40 years old, having carried at least one pregnancy to term, having a healthy pregnancy history, being a non-smoker, and having a stable living situation. See our full surrogate requirements.
What fertility clinics in San Francisco work with surrogacy agencies?
The Bay Area has outstanding fertility clinics for gestational surrogacy, including Pacific Fertility Center (PFC), UCSF Center for Reproductive Health, Spring Fertility, CCRM San Francisco, Bay IVF, and Reproductive Science Center. These clinics coordinate regularly with surrogacy agencies on IVF cycles and embryo transfers.
How much do surrogates earn in San Francisco and the Bay Area?
At Made in the USA Surrogacy, base compensation starts at $65,000+ for first-time surrogates and $70,000+ for experienced surrogates. Total compensation can reach $90,000 or more. See our full compensation details.
Start a Conversation
“I live in the East Bay and was worried about working with a Sacramento agency. It turned out to be a non-issue. My case manager was always reachable, the clinic coordination was seamless, and they handled everything. The fact that Samantha herself had been through surrogacy changed the whole dynamic. It never felt corporate.”
— Nicole K., surrogate, Bay Area
Whether you're exploring surrogacy for the first time or comparing Bay Area agencies, we'd rather answer your questions honestly than pitch you.
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 and answer your questions, even if next steps aren't with us.
Free ConsultationMade in the USA Surrogacy is headquartered in Sacramento, California. Founded by Samantha Giermek, a former surrogate. Serving families and surrogates throughout San Francisco, Oakland, Berkeley, Palo Alto, San Mateo, the East Bay, South Bay, and all of California.
