1How does the surrogacy procedure work?
The intended parents contact our representative on the website and give their requirements as well as suitable dates for them to take part in our surrogacy program. We offer two options to parents who wish to participate in this program: they can have the IVF procedure performed in their local clinic and visit Georgia after about a week to have egg retrieval done in our clinic. The second option is to have the IVF as well as egg retrieval procedure done in Georgia and for this they will have to arrive in Georgia first. In the first case, about a week is required for the parents to stay in Georgia. In the second case, however, more than 2 weeks may be required for the entire procedure to be completed smoothly. Before participating in our program, the parents would be required to go through thorough screening to deem them eligible for the program.

To sign the surrogacy contract, we need copies of passports and the screening results. If you’re still in your homeland, we will send the contract over electronically and you can send it back by the same medium after signing it. The payment has to be made in advance and we will send the invoice to the parents so that the procedure may start.

Once everything is ready, the mothers’ preparation starts. Intended mother is prepared side by side with the surrogate mother we provide. If you are having the procedure done in a local IVF clinic, we would require stimulation updates to see how many follicles are present in each ovary and what their sizes are. These data are collected on 5th and 8th day. On day 9, the mother should be present in our clinic in Georgia so that egg retrieval timing could be calculated.
2How does the egg donation program work?
Our representative can be reached through our website no matter where you are currently residing. Provide us with details of your requirements as well as the dates you will be available to participate in the program. Once the dates have been finalized, the intended parents start the donor selection procedure. The parents will be required to visit our website, enter login details (provided by our coordinator) and get access to the complete database of egg donors we have at Royal Surrogacy. You can click on any one of the donors and see their complete profiles with photos and previous donation as well as medical history. Parents usually need to know the ethnicity, education, age, etc. so that they can choose a donor based on their own preferences.

Once the parents send us their passport copies and then sign the contract with us. This contract can be signed and sent over to us electronically. The first payment is required to be completed so that the procedure may start officially. After we receive the payment, an egg donor has been selected from the database by the parents. We perform full screening on the egg donor to make sure they are ready and physically fit to take part in the surrogacy program. Parents are required to be in Georgia for about 5 days to a week. They need to be present at the egg retrieval date as well as when the embryo is to be transferred to the surrogate mother. Embryos are usually transferred after day 3 of fertilization. We also offer day 5 blastocyst transfer and it can be carried out upon the parents’ request.

We offer two embryos to be transferred per trial based on the package you choose. If you are against having twins, you may specify it in your contract. It is not advisable to transfer more than three embryos at the same time. Once the embryos have been transferred, the parents may return to their homeland. It is possible to detect pregnancy only after 14 to 16 days of embryo transfer. We will send the test reports to your local address once pregnancy has been confirmed. The first ultrasound is performed after one month of embryo transfer.
3How does the surrogacy program proceed with the frozen embryos option?
The first step to take part in any surrogacy program we offer at Royal Surrogacy is to contact our representative through the website. The parents need to give details regarding their requirements and the dates they will be available on to take part in the program. In case of the frozen embryos program, the parents are needed to make arrangements to ship the embryos to our lab/clinic in Georgia. They also need to get a detailed report from the clinic where the frozen embryos have been stored. This report must have the following information;

- Total number of embryos frozen
- Number of straws they were frozen in
- Each embryo’s grade
- For how many days the embryos were frozen
- The method used to freeze the embryos
Moreover, before the surrogacy procedure could take place, we would need the parents’ test reports on the presence of infectious diseases like Hepatitis B and C, HIV, and syphilis.

Once we receive the frozen embryos at our clinic in Georgia, we need the parents’ passport copies to prepare legal contracts on surrogacy. The contracts are then signed and the first invoice is dispatched to the parents. After the payment has been made, the surrogate mother is prepared, embryos are thawed, and then transferred to the surrogate. The parents will be consulted on how many embryos to transfer beforehand.
4What happens after pregnancy is confirmed?
We confirm pregnancy in the surrogate mother through the HCG (human chorionic gonadotropic) test done twice. We inform the parents that the embryo transfer has been successful and they can now look forward to receive their bundle of joy after roughly 38-40 weeks. We then pass the case along to the pregnancy care coordinator to take care of all the required screenings, ultrasounds, and expenses.

The coordinator will be responsible to send all the updates and progress including ultrasound reports to the intended parents. We also provide various means of communication including Skype and email so that the IPs may get in touch with the surrogate mother directly and voice any concerns they might have. We also welcome face-to-face meetings so that the two parties may get to know each other during this entire emotional time. This is to make them both comfortable with the proceedings.
5How many eggs can an egg donor provide?
It is not possible to predict the number of eggs in advance regardless of the health, age, and ethnicity of the egg donor. Although we do get this question quite often from the intended parents, unfortunately this is something we have no control over.

However, a rough estimate on the number of eggs to expect from an egg donor can be made through a test known as Antral Follicle Count. This test could be requested to be performed on the egg donor before she is involved in the surrogacy program. Although it does not guarantee the number and quality of eggs but it gives some measure of the number of eggs to be expected at the time of retrieval.
6What is done to the embryos that are not transferred to the surrogate?
We only transfer up to two embryos to the surrogate mother at one time. Any other embryos that might be available are stored and kept in our lab for future use.
7What happens if the first cycle fails to complete?
The intended parents are presented with two common options if their first cycle fails. They may decide to use the leftover frozen embryos still present at the lab to try one more time with the surrogate. Or they may decide to choose another egg donor and then repeat the procedure for a fresh cycle.

Good news is the parents may try three times before giving in once they have made a payment for one extended program with Royal Surrogacy. All medications and the IVF procedures for repeated trials are included in that package. This may include one fresh transfer and two frozen embryo transfers (or all three frozen embryo transfer attempts).

One attempt program requires the parents to pay an additional fee of 4,900 USD if they decide to go for a second or third try for frozen embryo transfers. If they decide to go for a fresh egg donor, the cost will depend on the program they choose and the number of surrogates they wish to try. Only the agency payment will be waived for each additional trial; they will need to pay for surrogate mother’s preparation and the IVF cycles.

However, in case of guaranteed program there are unlimited trial options given to the parents until one baby is born. They may use any number of egg donors they wish to.
8What happens if the surrogate mother experiences a miscarriage?
This is a matter of concern for most intended parents as they want to see the pregnancy complete without any complications. We consider an agency payment justified when the pregnancy test comes out positive and the heartbeat is confirmed. However, if the test is positive but there is no heartbeat at this stage, we do not consider it a miscarriage. So, the parents may decide to try one more time with fresh transfer of embryos depending on their package without having to pay the agency.

Once the heartbeat is confirmed, we consider it a normal and stable pregnancy. However, the fetus may stop developing later on due to any reason at all; which is then considered a miscarriage. In such a case, the parents will have to make full payment for a program to try one more time. However, if the pregnancy does proceed normally, the parents will have to pay the surrogate mother at specific stages during pregnancy and this is discussed in the contracts.
9What is discussed in the contract between the intended parents and the surrogate mother?
This contract is one of the most important aspects of a surrogacy procedure. According to the Georgian law, the parents as well as the surrogate mother must sign this contract before the embryo transfer takes place. The child will be registered under the intended parents’ names and the surrogate mother will have no connection with the child. This is to ensure that no legal issues arise later on when the baby is finally born.

In case the first cycle fails and another trail is required for frozen embryos to be transferred to the surrogate, a new contract will be signed. The parents may decide not to leave their homeland and simply transfer the power of attorney to the Royal staff so thay they may sign the new contract on their behalf. The signed original documents are kept with us but we do send the copies to the parents. Once they arrive in Georgia, they will be given the original contracts to keep.
10How many times do the parents have to visit Georgia?
Throughout the procedure, the parents need to visit Georgia only twice. First, when they have to provide the sperm (and/or egg retrieval in case of self-cycle) to our clinic, and second when they have to receive the baby before she is born.
11Do the intended parents need visa to arrive in Georgia?
There are many countries including the countries in the EU, the citizens of which require no visa for entry in Georgia. These countries include the USA, Australia, New Zealand, Canada, Singapore, Iceland, Norway, Turkey, Kuwait, and South Korea. In addition, the UAE, Bahrain, Qatar, Oman, Iran, and CIS nations (with the exclusion of Russia) are also included in this list. Residents of Israel, Switzerland, Liechtenstein, Andorra, and San Marino are also allowed to enter Georgia without the need for a visa. Permit to enter will be provided at the border when you will arrive.
In case you reside in any other country of the world, you may receive your visa by applying at the Georgian Embassy in your country.
12Is Georgia a safe country to visit for tourists?
Georgia is one of the most preferred locations for international clients who wish to undergo surrogacy. It is not only a safe destination but also a popular tourist country.
13What medical tests are required for the surrogate, intended mother and the egg donor?
There is a complete list of tests that are required to make sure all three parties involved in the surrogacy procedure are healthy and eligible. These include complete blood picture including HB, blood group, HIV, Hepatitis B and C, syphilis, follicle stimulating hormone or FSH, luteinizing hormone or LH, a test performed to estimate the remaining egg supply, prolactin, vaginal swab tests, insulin, herpes virus, and a few others.
14Are there any medical tests the genetic father needs to undergo?
Yes, we require the father to undergo at least a few of the tests including HIV, Hepatitis B and syphilis, Hepatitis C, and semen analysis and culture to be performed in the last three months before the program starts.
15What are the success rates for the surrogacy procedures?
- Fresh embryo transfer – 66%
- Frozen embryo transfer – 58%
- Fresh transfer with two surrogates – 95%
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