Why we continue to believe in altruistic surrogacy
October 2026
Sarah Jones SurrogacyUK
A recent Family Court judgment has made me reflect on why SurrogacyUK continues to advocate for altruistic surrogacy, and why the questions we ask before a surrogacy journey begins matter so much.
At SurrogacyUK, we’ve always been strong advocates for altruistic surrogacy. It’s at the heart of who we are, how we work and what we believe surrogacy should look like.
A recent Family Court judgment, D & Anor v K (Illegal Chinese Commercial Surrogacy) [2026] EWFC 279, has made me reflect again on why we feel so strongly about this.
I’m not a legal professional, and I’m not going to attempt a detailed legal analysis of the case. But I do think that, as an organisation working in surrogacy, we have a responsibility to pay attention to the cases coming through the courts, consider the issues being raised and learn from them where we can.
And for me, this case reinforces why we believe so strongly in an altruistic, relationship-led approach to surrogacy.
What can we learn from this case?
The case concerned a commercial surrogacy arrangement in China, where surrogacy is prohibited.
There were a number of concerning aspects to the arrangement, including the involvement of a commercial intermediary, very limited contact between the intended parents and their surrogate, questions around payments and the fact that the surrogate had not received independent legal advice.
There are complex legal issues involved, and I’d encourage anyone interested to read the judgment for themselves.
The court ultimately granted a parental order, but that shouldn’t be confused with an endorsement of the arrangement itself. The judge was very clear about the concerns it raised.
What particularly interested me, though, was the guidance repeated towards the end of the judgment.
Mr Justice MacDonald refers back to recommendations made in previous cases about what intended parents should be considering before entering into an international surrogacy arrangement.
These include understanding the legal position in the country concerned, the surrogate’s circumstances and rights, whether she has received independent advice, how payments are managed, and the role and responsibilities of any agencies or intermediaries involved.
And this isn’t new guidance.
The judgment refers back to cases from 2024 and 2025 in which similar concerns and recommendations were raised.
If the courts are having to repeat these warnings, surely we should be asking whether enough is being done to ensure intended parents are properly informed before they enter into these arrangements.
Not when a baby has been born. Not when something has gone wrong. Before.
Asking the questions before, not after
Something else that really struck me about this judgment was the emphasis on the questions intended parents should be asking before entering into a surrogacy arrangement.
And this is something we feel very strongly about at SurrogacyUK.
We ask quite a lot of our intended parents before they can join us, and there’s a very good reason for that. We want people to feel informed, prepared and confident about what a surrogacy journey involves.
Our application process isn’t simply about completing a form and paying a membership fee. We want people to understand what they’re getting into, to think carefully about their expectations and to consider the implications that come with surrogacy.
That’s why we have our Surrogacy Preparation Course, our background and health checks, and conversations with applicants about their motivations, expectations and understanding of surrogacy.
We know that the hope of having a family is what brings intended parents to surrogacy, and we completely understand that. Our preparation process helps people think about everything else that comes with that journey, including the relationships, responsibilities and decisions involved.
I think it’s also important that intended parents understand what joining SurrogacyUK means.
SurrogacyUK is a community rather than a matching agency. Our membership fee supports the preparation, guidance and community we provide, but it doesn’t guarantee a match with a surrogate or a surrogacy journey. Relationships develop naturally, and any decision to embark on a journey together is a mutual one.
Our surrogates are individuals who make their own choices about whether to embark on a journey, who they would like to help and what feels right for them.
At SurrogacyUK, we encourage intended parents and surrogates to get to know one another, build friendships and make those decisions together.
That’s an important part of our friendship first approach, and why we want people joining us to understand that they’re becoming part of a community.
It’s a different way of approaching surrogacy, and one we believe in very strongly.
And importantly, we want to know that intended parents understand and genuinely share our friendship first ethos.
Are they prepared to spend time getting to know a surrogate as a person? Do they understand that she has her own life, family, opinions and boundaries? Are they comfortable with the idea that she will remain a known and valued part of their child’s life? Do they understand that surrogacy is a relationship, not simply a way of having a baby?
And are they prepared for the fact that things might not always go according to plan?
These aren’t questions we should be asking for the first time once someone is pregnant, let alone after a baby has been born.
We want intended parents to have thought about these things before they even join our community, and certainly before embarking on a journey with a surrogate.
Our membership process isn’t a guarantee that everything will go smoothly. Of course it isn’t. People are human, circumstances change and surrogacy can be complicated.
But preparation matters.
Our application process is about making sure that people understand our approach, share our values and feel ready to become part of the SurrogacyUK community.
Reading this judgment, and particularly the guidance the courts have now repeated in several cases, reinforces why we place such importance on doing that work at the beginning.
You cannot go back and have the conversations you should have had before a pregnancy began.
And whilst our approach can’t remove every risk or prevent every difficulty, we believe it gives people a much stronger foundation on which to build their surrogacy journey.
Why we advocate for altruistic surrogacy
For us, altruistic surrogacy is about much more than not being paid commercially.
It’s about how people approach surrogacy, how relationships are formed, how decisions are made and how everyone involved is treated.
We believe that surrogacy should be built on trust, openness, mutual respect and informed choices.
That doesn’t mean surrogates shouldn’t have their expenses covered or receive proper support. Of course they should.
Nor does it mean we think surrogates should be expected to give endlessly of themselves simply because they’ve chosen to help someone else.
Surrogates are people first, with their own lives, needs, boundaries and expectations. Being a surrogate is something they choose to do, not everything they are. And our approach should always reflect that.
But as an organisation that believes in altruistic surrogacy we do have concerns about what happens when commercial interests become part of the arrangement.
When intermediaries have a financial interest in surrogacy taking place, we think it’s reasonable to ask how that might affect the process, the information being shared and the relationships between those involved.
Who is making the decisions? How much control does the surrogate have? Is she receiving independent information and support? Are intended parents able to communicate openly with her?
And perhaps most importantly, is everyone being treated as an individual with their own needs, rights and expectations?
These aren’t questions that only matter in commercial surrogacy. They matter in every arrangement.
But they are part of why we believe so strongly in an altruistic model that puts relationships at the centre.
For us, friendship first isn’t just a nice phrase. It’s something we expect people to understand and commit to before they join our community.
And I think that makes a real difference to how people approach their journeys.
What should we take away from these judgments?
Coming back to the court case, I think one of the most important things is that the judge was repeating guidance that had already been given in earlier judgments.
These aren’t new questions.
The importance of informed consent, independent advice, transparency around payments and understanding the legal implications of international surrogacy has been raised before.
And yet we continue to see cases where concerns about these issues arise.
I’m not suggesting that every commercial surrogacy arrangement is problematic, or that every altruistic arrangement is automatically better.
But I do think these cases should make us reflect on the kind of surrogacy model we want to encourage and support here in the UK.
And I think they should remind us that preparing for surrogacy is about much more than understanding the medical process or knowing what paperwork needs to be completed.
It’s about understanding the people involved, the relationships being formed and the responsibilities that come with them.
For SurrogacyUK, the answer remains an altruistic, relationship led approach.
Because we believe that surrogacy should begin with people, not transactions.
We don’t ask intended parents to prepare because we think surrogacy will go wrong. We ask them to prepare because we know how much it matters to get things right from the beginning.
And for me, that is at the heart of why we continue to advocate for altruistic surrogacy at SurrogacyUK.
This article reflects SurrogacyUK’s ethos and is not intended as legal advice. Anyone considering international surrogacy should seek specialist legal advice before entering into an arrangement.
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