As economic conditions improve and attitudes toward relationships and family life become more diverse in China, many same-sex couples who have been in stable relationships for years are also hoping to have children of their own.
Because access to assisted reproductive treatment for same-sex couples remains limited domestically, some lesbian couples begin exploring overseas surrogacy and other family-building options. Here, Jiabao Libao takes a closer look at a common question: What should lesbian couples prepare before pursuing surrogacy abroad?
1. Confirm Legal Eligibility in the Destination Country
The first step is to determine whether the destination legally recognizes the couple’s relationship and whether lesbian couples are permitted to use gestational surrogacy.
It is also important to check whether local law requires one of the intended parents to have a genetic relationship with the child.
In addition, couples should understand in advance how both women can establish legal parentage after the baby is born, as procedures can vary significantly between countries.
2. Determine the Reproductive Plan
Both partners can begin by completing fertility and general health assessments, including AMH testing, antral follicle count, uterine evaluation, and basic health screening.
Based on age, ovarian reserve, uterine condition, and overall health, the couple can decide which partner will provide the eggs.
They will also need to arrange a legally compliant sperm source in accordance with the regulations of the destination country and the requirements of the fertility clinic.
3. Prepare IVF and Embryo-Related Medical Records
Before entering an overseas fertility program, it can be helpful to complete basic medical examinations in China and organize any previous records related to IVF treatment, miscarriage, surgery, or medication use.
The medical process may later involve ovarian stimulation, egg retrieval, fertilization, embryo culture, and embryo freezing.
If there is a known genetic risk, doctors and genetic counselors may evaluate whether preimplantation genetic testing (PGT) is appropriate rather than using it routinely in every case.
4. Prepare the Budget and Post-Birth Documentation Plan
The total cost of overseas surrogacy should not be evaluated based on IVF fees alone.
The budget may also include embryo culture, embryo transfer, prenatal care, delivery, legal services, translation, notarization, international travel, and accommodation.
It is also advisable to set aside additional funds in case more than one embryo transfer is required or unexpected medical expenses arise during pregnancy.
For lesbian couples in particular, it is important to clarify in advance how the birth certificate will be issued, how legal parentage will be established for both the genetic and non-genetic mother, and what travel, nationality, or identity documents the child will need after birth.
Overall, overseas surrogacy is a complex and legally sensitive process that requires careful planning. Lesbian couples considering this option should fully understand the medical, legal, financial, and administrative requirements before making a decision.
If you are interested in learning more about overseas surrogacy, you can contact us for further information. We can explain the general process and help you better understand the available options based on your individual circumstances.
