Surrogacy in the USA — unmatched legal certainty and a US-citizen baby.

Surrogacy is regulated state by state. Several US states — including California, Nevada, Colorado, Illinois, Connecticut, Washington, Oregon, New Jersey, Maine and New Hampshire — have explicit pro-surrogacy statutes that allow pre-birth orders, meaning that intended parents are recognised as the child’s legal parents before delivery.

Married and unmarried heterosexual couples, same-sex couples and single intended parents from any country are accepted in surrogacy-friendly US states. The USA is the most inclusive jurisdiction globally in terms of family-structure eligibility.

The USA is the most expensive of the five Militta destinations; the fee depends heavily on the state, clinic and program structure, so it is quoted individually in writing after a consultation. The headline cost includes IVF, surrogate compensation and benefits, legal, agency, insurance, escrow and delivery.

Three drivers: surrogate compensation is significantly higher than in any other destination, medical costs are the highest in the world, and US programs typically carry dual legal representation plus comprehensive insurance. In exchange, intended parents receive the highest level of legal certainty available anywhere.

California remains the gold standard, with decades of pro-surrogacy case law and pre-birth orders routinely granted for any family structure. Nevada, Colorado, Illinois and New Hampshire are also excellent. Militta recommends a state based on your specific legal, medical and logistical needs.

Yes. A child born in the USA acquires US citizenship at birth under the Fourteenth Amendment. For international intended parents, this can be a strategic advantage — or simply a desirable outcome. You process your home-country passport after return.

Plan 18 to 24 months: 4 to 8 months for surrogate matching and IVF, 9 months of pregnancy, and 2 to 4 weeks post-birth for documents. Surrogate availability in the USA can lengthen matching timelines compared with other jurisdictions.

No. International intended parents typically travel to the USA for the initial medical consultation, the embryo transfer window and the delivery. Everything else can be coordinated remotely by Militta.

In surrogacy-friendly US states, an attorney files a petition before delivery. A judge issues a pre-birth order declaring the intended parents as the legal parents of the unborn child. When the baby is born, the hospital directly issues a birth certificate in the intended parents’ names — no adoption required.

The USA offers the highest legal certainty and US citizenship for the child, but at roughly 2–3× the cost of Mexico or Colombia. For families where legal certainty is paramount, or where US citizenship is strategically valuable, the USA is the natural choice. For families prioritising cost and comparable inclusivity, Mexico or Colombia are strong alternatives.