Samantha Giermek
Founder, Made in the USA Surrogacy
“Samantha Giermek is the founder of Made in the USA Surrogacy, a Sacramento-based surrogacy agency dedicated to connecting intended parents with compassionate surrogates across the United States.”
Surrogacy vs. Adoption: Understanding Your Options
If you're facing infertility or any situation where carrying a pregnancy isn't possible, you've likely looked at two paths: surrogacy and adoption. Both lead to parenthood. Both are legitimate, meaningful ways to build a family. And both involve complex emotional, financial, and legal considerations.
We're a surrogacy agency, so we'll be transparent about our perspective. But we also believe you deserve an honest comparison — not a sales pitch — so you can make the decision that's right for your family.
The Core Difference
The fundamental distinction is biological connection. Surrogacy allows you to have a child who is genetically related to one or both parents. Adoption involves welcoming a child who is not genetically related to you.
For some families, that genetic connection is deeply important — it may be tied to cultural values, personal identity, or simply the desire to see their own features reflected in their child. For others, the biological connection doesn't carry the same weight, and what matters most is providing a loving home to a child who needs one.
Neither perspective is wrong. Both are deeply personal.
The Surrogacy Process
In gestational surrogacy, an embryo is created through IVF using the intended parents' egg and sperm (or donor gametes) and transferred into a gestational surrogate who carries the pregnancy. The surrogate has no genetic connection to the baby.
The process typically takes 12 to 18 months from agency matching to delivery. You're involved from the very beginning — choosing your surrogate, being present for milestones, and often being in the delivery room when your child is born.
Total cost in California typically ranges from $140,000 to $150,000 (plus IVF costs). The legal framework in California is well-established — pre-birth parentage orders ensure your name is on the birth certificate from day one, and the legal risk of a custody dispute is essentially nonexistent in gestational surrogacy.
The Adoption Process
Adoption comes in several forms — domestic infant adoption, foster care adoption, and international adoption — each with its own process, timeline, and cost structure.
Domestic infant adoption involves being matched with a birth mother who has chosen to place her child for adoption. The process can take one to several years, and costs typically range from $30,000 to $60,000. One significant factor: the birth mother may legally change her mind about the adoption during a revocation period that varies by state, which creates uncertainty that many prospective parents find emotionally challenging.
Foster care adoption is often significantly less expensive (sometimes nearly free), but the primary goal of the foster system is family reunification, not adoption. Children available for adoption through foster care have often experienced trauma, and the timeline to permanent placement can be lengthy and emotionally complex.
International adoption has become more limited in recent years as many countries have restricted or closed their international adoption programs. Where it's still available, the process typically takes two to four years and costs $25,000 to $50,000 or more, with additional travel and documentation requirements.
Comparing Key Factors
Timeline. Surrogacy typically has a more predictable timeline — 12 to 18 months once you're matched. Adoption timelines are less predictable and can range from one to several years depending on the type of adoption and your specific circumstances.
Genetic connection. Surrogacy preserves a biological link to your child. Adoption does not, though many adoptive families describe bonds that are every bit as deep and meaningful as biological ones.
Involvement during pregnancy. In surrogacy, you can be present for the entire pregnancy — attending appointments, feeling the baby kick, building a relationship with your surrogate, and being in the delivery room. In adoption, your involvement during the birth mother's pregnancy varies and may be limited.
Legal certainty. Gestational surrogacy in surrogacy-friendly states like California offers strong legal certainty — parentage is established before birth, and there's no risk of the surrogate claiming parental rights. In adoption, the revocation period (during which a birth mother can change her mind) introduces a layer of legal uncertainty, particularly in domestic infant adoption.
Cost. Surrogacy is generally more expensive than adoption, especially when IVF costs are included. However, some forms of adoption (particularly international) can approach surrogacy costs, and the financial comparison depends on your specific circumstances.
Emotional experience. Both paths involve deep emotional complexity. Surrogacy's emotional challenges tend to center around the medical process — failed transfers, the two-week wait, managing the relationship with your surrogate. Adoption's emotional challenges often involve the uncertainty of matching, the possibility of a birth mother changing her mind, and navigating the adoption system.
Some Families Explore Both
It's not uncommon for intended parents to consider both surrogacy and adoption simultaneously, or to pursue one after the other. Some families who've experienced failed surrogacy transfers turn to adoption. Others who've been waiting in the adoption process for years turn to surrogacy for a more predictable path.
There's no rule that says you have to choose one and never consider the other. Your path to parenthood can look however it needs to look.
How to Decide
The right choice depends on your priorities. If a genetic connection to your child is important to you, surrogacy is likely the better fit. If you're drawn to providing a home to a child who needs one and the biological connection isn't a priority, adoption may resonate more deeply. If timeline predictability and legal certainty are your top concerns, surrogacy in a state like California offers advantages. If cost is the primary factor, certain forms of adoption may be more accessible.
Whatever you're leaning toward, we're happy to answer questions about the surrogacy side — honestly and without pressure. And if you're exploring adoption, we respect that decision completely. The only thing that matters is that you find the path to parenthood that's right for your family.
