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Visalia & Tulare County · Founded by a Former Surrogate
Surrogacy in Visaliaand Tulare County
Third-party medical screening. 3–6 month matching. $65,000–$90,000+ surrogate compensation. Not a template page.
Made in the USA Surrogacy, Sacramento-based, serving Visalia, Tulare County, and all of California.
“They never made me feel like I was just a number.”
— Rachel M., surrogate, Tulare County
Most surrogacy agencies don't have a Visalia page. The ones that do copied their Los Angeles page and swapped in the city name. You can usually tell because nothing on it reflects anything about the Central Valley.
Made in the USA Surrogacy is headquartered in Sacramento, not Visalia, and we're straightforward about that. What we can tell you is that every surrogate in our program lives in California, our screening process goes well beyond a standard requirements checklist, and our founder, Samantha Giermek, became a surrogate herself before building this agency. We also share the details that most agencies keep vague: how long matching takes, what screening actually involves, and exactly what compensation looks like.
Whether you're a woman in Visalia or Tulare County considering surrogacy, or intended parents searching for an agency that genuinely serves the Central Valley, this page has the specifics that matter. Not a template.
Local Resources
Surrogacy in Visalia, California
Visalia sits in the heart of Tulare County, the agricultural center of the Central Valley. For gestational surrogacy, your fertility clinic handles the IVF cycle and embryo transfer, while day-to-day prenatal care happens locally with your OB/GYN. California's surrogacy laws provide the strongest legal framework in the United States.
Fertility Clinics Serving Visalia
Laurel Fertility Care (Fresno)
Led by Dr. Collin Smikle
Board-certified reproductive endocrinologist with extensive IVF and gestational surrogacy experience. Located approximately 75 minutes north of Visalia.
Acacio Fertility Center
Serving the Central Valley with high IVF success rates and experience coordinating gestational surrogacy cases.
Northern California Fertility Medical Center (Sacramento)
MUSA's home-base clinic with deep surrogacy expertise and a long track record of successful gestational carrier cycles.
For surrogates in Visalia, fertility clinic visits are primarily during the embryo transfer phase. Day-to-day prenatal care happens locally with your OB/GYN.
Delivery Hospital in Visalia
Kaweah Health
400 W Mineral King Ave, Visalia
Level 3 NICU with comprehensive maternity services. Named a US News & World Report High Performing hospital for Maternity Care in 2025. One of the strongest delivery hospitals in the Central Valley.
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.
Visalia 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 Visalia Choose Us
Every agency page 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 Feels Like an Investment, Not a Filter
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.
This process exists to protect everyone involved—surrogates, intended parents, and the baby. When we say screening is thorough, we can show you exactly what that means.
Every Surrogate Lives in California
No cross-state coordination. No conflicting legal frameworks. When your surrogate is a California resident, the journey stays within the strongest surrogacy legal protections in the country.
For surrogates in Visalia and Tulare County, it means working with an agency rooted in California that understands the Central Valley.
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 live in a smaller town and I was worried a Sacramento agency wouldn't really be there for me. They were. My case manager answered every question, walked me through each step, and never made me feel like I was just a number. The compensation was the highest I found anywhere, and the whole experience changed how I see what I'm capable of.”
— Rachel M., surrogate, Tulare County
Since 2017
Surrogate-Founded
For Surrogates
Become a Surrogate in Visalia
If you're a woman in Visalia or Tulare County thinking about surrogacy, you're probably weighing two things: 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.
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 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 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 Visalia
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—not one that disappears between milestones.
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 from your case manager.
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
Visalia 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+
Visalia and the Central Valley offer a lower cost of living compared to coastal California, which means surrogate compensation stretches further here. For intended parents, core costs remain similar regardless of the surrogate's location within California—compensation, medical, and legal costs are driven by state-level factors and clinic selection rather than geography.
For a full breakdown, visit our detailed cost guide.
Central Valley Coverage
Communities We Serve in the Central Valley
We work with surrogates and intended parents throughout Tulare County and the surrounding Central Valley.
Tulare
20 min south, proximity to Kaweah Health
Porterville
Southern Sierra foothills, Tulare County
Hanford
Kings County, near Visalia medical infrastructure
Exeter
East of Visalia, fully supported
Lindsay
Citrus belt, Central Valley service area
Dinuba
North of Visalia, bridging Tulare & Fresno
Fresno
Central Valley
Our Sacramento headquarters coordinates with surrogates across the state. Learn more about surrogacy in California.
Questions
Frequently Asked Questions
Is surrogacy legal in Visalia, California?
Yes. California has the strongest surrogacy legal framework in the United States. Pre-birth parentage orders allow both parents to be on the birth certificate before the baby is born, regardless of marital status or genetic connection. There is no post-birth adoption and no waiting period. Learn more: California surrogacy laws.
How much do surrogates earn in Visalia?
At Made in the USA Surrogacy, base compensation starts at $65,000+ for first-time surrogates and $70,000+ for experienced surrogates. Total compensation, including allowances, milestone payments, and expense coverage, can reach $90,000 or more. Learn more: compensation breakdown.
How do I become a surrogate in Visalia?
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. Learn more: surrogate requirements.
Are there fertility clinics near Visalia that work with surrogacy agencies?
Yes. Visalia is served by Laurel Fertility Care in Fresno (Dr. Collin Smikle), Acacio Fertility Center in the Central Valley, and Northern California Fertility Medical Center in Sacramento. Day-to-day prenatal care is handled by your local OB/GYN in Visalia.
How much does surrogacy cost in Visalia, California?
Total surrogacy investment typically starts at $160,000+, covering surrogate compensation, agency fees, IVF and medical costs, legal fees, and insurance. Learn more: detailed cost guide.
Start a Conversation
“I drove past Kaweah Health every day and never thought that's where I'd deliver a baby for someone else's family. But that's exactly what happened. My case manager at MUSA made sure I had support from my first application question all the way through recovery. The compensation helped my family, and what I did for my intended parents—that's something I'll carry with me forever.”
— Maria T., surrogate, Visalia
Whether you're exploring surrogacy for the first time or comparing agencies that serve the Central Valley, 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 Visalia, Tulare County, the Central Valley, and all of California.
