Are you wondering what is IVF and surrogacy, and whether they’re the same thing? Many people exploring family-building options have these exact questions. While IVF and surrogacy often work together, they serve completely different purposes in your journey to parenthood.
This guide breaks down everything you need to know about both options, helping you understand the difference between IVF and surrogacy and which path might be right for your family.
Key Takeaways
- IVF and surrogacy are not the same thing, though they often work together. IVF is a medical procedure that creates embryos by fertilizing eggs outside the body, while surrogacy involves another woman carrying your pregnancy.
- IVF can be used alone when you can carry your own pregnancy, but surrogacy typically requires IVF to create the embryos that will be transferred to your gestational carrier.
- Understanding the difference between IVF and surrogacy helps you make informed decisions about which family-building option is right for your unique situation.
- Both options have helped millions of families achieve their dreams of parenthood.
What Is IVF and Surrogacy?
Before diving into how these options work together, let’s clarify what is IVF and surrogacy as individual processes.
IVF (In Vitro Fertilization) is a medical procedure that creates embryos by fertilizing eggs with sperm in a laboratory setting. These embryos can then be transferred into your uterus or a gestational carrier’s uterus.
Surrogacy is an arrangement where another woman (a gestational carrier) carries and delivers a baby for you when you cannot safely carry a pregnancy yourself.
The key distinction: IVF is about creating embryos, while surrogacy is about carrying a pregnancy to term.
Is IVF and Surrogacy the Same?
No, IVF and surrogacy are not the same, but they often work as a team. Think of it this way: IVF creates the embryo, and surrogacy provides a place for it to grow.
You might use IVF alone if you can carry a pregnancy but need help conceiving. You need surrogacy when you cannot safely carry a pregnancy yourself, and IVF usually creates the embryos for your surrogate.
What Is IVF?
IVF stands for in vitro fertilization. It’s a medical treatment that helps you conceive by creating embryos outside your body in a lab setting.
During IVF, doctors take eggs from you or an egg donor and combine them with sperm from your partner or a sperm donor. Once fertilized, these embryos can be transferred into your uterus or a gestational surrogate’s uterus.
How IVF Works: Step by Step
Ovarian Stimulation: You take hormone injections to help your ovaries produce multiple eggs instead of just one. This gives you better chances of creating healthy embryos.
Egg Retrieval: Your doctor performs a minor procedure to collect the mature eggs from your (or a donor’s) ovaries. This usually takes about 20-30 minutes and is done under light sedation.
Fertilization: The eggs and sperm are combined in a lab dish. If male infertility is a factor, your doctor might use ICSI (intracytoplasmic sperm injection), where a single sperm is injected directly into each egg.
Embryo Development: The fertilized eggs grow for 3-5 days while lab specialists monitor their progress. The healthiest embryos are selected for transfer or freezing.
Embryo Transfer: Your doctor places the best embryo into your uterus or your surrogate’s uterus through a thin catheter. This is usually painless and takes just a few minutes.
IVF for Different Family Types
Same-sex male couples typically use IVF with an egg donor and gestational surrogate. One or both partners can provide sperm and together you make important decisions about donors and surrogates.
Same-sex female couples often use IVF with donor sperm. One partner can provide eggs while the other carries the pregnancy, or you might choose reciprocal IVF where one provides eggs and the other carries.
Single parents can use IVF with donor eggs, donor sperm, or both, depending on your situation.
What Is Surrogacy?
Surrogacy is when another woman, called a gestational carrier or surrogate, carries your pregnancy for you. This helps people who cannot carry a pregnancy themselves due to medical conditions, previous pregnancy complications, or other reasons such as being in a same-sex male partnership.
How Gestational Surrogacy Works
In gestational surrogacy (the most common type), your surrogate has no genetic connection to your baby. The embryos come from your eggs and your partner’s sperm, or from donors you choose.
Your surrogate simply provides a safe place for your baby to grow. After birth, she gives the baby to you – the legal and biological parents.
Who Needs Surrogacy?
You might consider surrogacy if you have:
- Medical conditions that make pregnancy dangerous
- Had a hysterectomy or uterine problems
- Experienced repeated pregnancy loss
- Failed multiple IVF attempts
- Same-sex male partnerships
- Single men wanting biological children
How IVF and Surrogacy Work Together
Most gestational surrogacy requires IVF to create the embryos that will be transferred to your surrogate. Here’s how they connect:
Your IVF Journey: You (or your donor) go through the egg stimulation and retrieval process. The eggs are fertilized with sperm in the lab to create embryos.
Your Surrogate’s Preparation: Once you have embryos created, your surrogate takes medications to prepare her uterus for pregnancy.
The Transfer: Your doctor transfers one healthy embryo into your surrogate’s uterus. If successful, she carries your pregnancy for the next nine months.
Your Growing Family: Throughout the pregnancy, you stay involved in appointments and preparations while your surrogate provides the physical environment your baby needs to grow.
Difference Between IVF and Surrogacy: Key Distinctions
Understanding the difference between IVF and surrogacy is essential for making informed family-building decisions. Here are the main distinctions:
Purpose: IVF creates embryos from eggs and sperm. Surrogacy provides a uterus to carry those embryos to term.
Who’s Involved: IVF primarily involves you and your medical team. Surrogacy adds another person – your gestational carrier – to your journey.
When You Use Each: You use IVF when you need help conceiving but can carry a pregnancy. You use surrogacy when you need someone else to carry your pregnancy.
Physical Requirements: IVF requires you to take medications and undergo procedures. Surrogacy means your surrogate handles the physical aspects of pregnancy.
Genetic Connection: With IVF alone, the baby is genetically yours (or from chosen donors) and you carry the pregnancy. With surrogacy using IVF, the baby is still genetically yours, but your surrogate carries the pregnancy.
Can You Use IVF Without Surrogacy?
Yes! Many people use IVF alone to get pregnant and carry their own babies. IVF without surrogacy works well when you can safely carry a pregnancy but need help with conception.
You might choose IVF alone if you have:
- Blocked fallopian tubes
- Male factor infertility
- Unexplained infertility
- Egg quality issues
- Need donor eggs or sperm but can carry a pregnancy
Making Your Family Dreams Reality
Understanding what IVF and surrogacy are—and the differences between them—can help you make informed decisions about your family-building journey. Whether you choose IVF alone, surrogacy with IVF, or want to explore both options, professional guidance can make all the difference.
At Village Surrogacy, we specialize in connecting intended parents with qualified gestational carriers. We understand that combining IVF and surrogacy can feel overwhelming, which is why we guide you through every step of the process.
Our comprehensive approach includes matching you with caring, screened surrogates and connecting you with experienced reproductive medicine specialists and legal experts. We make sure you feel confident and supported throughout your journey.
Ready to Explore Your Options?
Every family’s journey is unique, and we know that what works for one may not always be right for another. That’s why at Village Surrogacy, we take the time to truly understand your story, your hopes, and your dreams.
We’ve had the privilege of helping many families find their path to parenthood through IVF and surrogacy—and every single journey inspires us. We’re here to make the process clearer, smoother, and filled with the care and support you deserve.
Reach out to us today at Village Surrogacy. Together, we’ll take the next step toward making your dream of starting or growing your family a reality.
Frequently Asked Questions
At what age is IVF most successful?
IVF is most successful for women under 35 because egg quality and quantity are generally higher. However, success rates can still be good for women in their late 30s and early 40s when donor eggs are used.
What is the downside of surrogacy?
The main downsides of surrogacy include high costs, lengthy legal processes, and emotional challenges for both the intended parents and the surrogate. However, with proper guidance and support, most families find the process rewarding and highly successful.
Does IVF always need a surrogate?
Not always. IVF can be done using the intended mother’s uterus. A surrogate is only needed when the intended mother cannot carry a pregnancy due to medical or personal reasons.
Which is better, surrogacy or IVF?
It depends on your situation. IVF is ideal if the intended mother can carry the baby, while surrogacy is the best option if she cannot. Both offer a path to parenthood—the right choice depends on your medical, emotional, and financial circumstances.




