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An In-Depth Look at the Difference Between Traditional Surrogacy and Modern (Gestational) Surrogacy

Gestational surrogacy

Surrogacy is an important way to help families who are unable to have children on their own realize their dream of parenthood, and there are two main forms of surrogacy: traditional surrogacy and modern surrogacy. In traditional surrogacy, the surrogate uses her own eggs combined with sperm from the intended father or donor to complete the fertilization process through artificial insemination. This approach is less expensive and simpler, but can lead to legal disputes and emotional challenges because the surrogate is the biological mother. In contrast, modern surrogacy (gestational surrogacy) reduces legal and emotional risks by implanting embryos from intended parents or donors into the surrogate's uterus through in vitro fertilization techniques, ensuring that the surrogate is not genetically linked to the baby. Despite the high cost and complexity of modern surrogacy, it is gradually becoming a mainstream option due to its scientific and standardized nature. Choosing which surrogacy method to use requires a combination of factors such as cost, legal risks, emotional factors and medical procedures. It is especially important to consult with a professional before making a decision to ensure that the most appropriate option is chosen for the family.

Traditional Surrogacy vs. Modern (Gestational) Surrogacy

What is traditional surrogacy?

In traditional surrogacy, the surrogate not only assumes the responsibility of conception, but also uses her own eggs to complete the fertilization process by combining them with the sperm of the commissioning father or donor. This means that the surrogate is both the biological mother of the baby and has a direct genetic link to him or her. This approach differs from gestational surrogacy, which uses the eggs of the commissioning mother or donor, thus avoiding a genetic link between the surrogate and the baby. Traditional surrogacy tends to be more controversial due to the more complex legal and emotional issues involved. For example, the determination of paternity may face a conflict between the principle of "motherhood by birth" and consanguinity. As a result, although traditional surrogacy is a time-honored form of assisted reproduction, its ethical and legal risks have led to severe restrictions and even bans in many countries and regions.

How does traditional surrogacy work?

  • The egg of the surrogate is combined with the sperm of the intended father.
  • Using a method called artificial insemination.
  • The baby is genetically linked to the surrogate.

Why choose traditional surrogacy?

It is usually cheaper because it does not involve advanced medical procedures. It may be chosen if the intended parents want the child to be biologically connected to them through the father.

What is modern (gestational) surrogacy?

In modern surrogacy, the surrogate does not use her own eggs; instead, an embryo formed from the combination of the intended parents' or donor's eggs and sperm is implanted in her uterus through in vitro fertilization (IVF) technology. This approach ensures that there is no genetic link between the surrogate and the baby, thus avoiding the complications associated with genetic linkage in traditional surrogacy. Modern surrogacy is often referred to as "gestational surrogacy" and is characterized by the central feature of "borrowing the womb, not the egg", i.e. borrowing only the surrogate's uterus to complete the conception process. This method makes it possible for couples who are unable to conceive on their own for health reasons, but who wish to have a genetically related child, to do so. However, while modern surrogacy has reduced genetic controversy, it still faces challenges on legal, ethical, and emotional levels. For example, issues such as how to define paternity and protect the rights of all parties still need to be further clarified. In addition, modern surrogacy involves more complex medical procedures and high costs, but is gradually becoming a more common option internationally because of its scientific and standardized nature.

How does gestational surrogacy work?

  • Eggs and sperm are combined in the laboratory using a process called in vitro fertilization (IVF).
  • The embryo is implanted in the surrogate's uterus.
  • The surrogate carries the child but is not biologically related to it.

Why choose a gestational surrogate?

Because the surrogate is not the biological mother, legal and emotional issues are avoided. It allows both parties to have a genetic link to the child if the DNA of the intended parents is used.

Key Differences Between Traditional and Modern Surrogacy

1. Biological linkages

In traditional surrogacy, the surrogate is the biological mother because her eggs are used. This means that the child is not only conceived by the surrogate, but is also directly genetically linked to her, which makes the surrogate biologically the mother of the child. In gestational surrogacy, on the other hand, the surrogate is not biologically connected to the baby. Embryos are formed through in vitro fertilization (IVF) techniques, using eggs and sperm from the intended parents or donors, and are then implanted in the surrogate's uterus. This separation of genes from the function of conception ensures that there is no genetic bond between the surrogate and the child, thus avoiding many potential conflicts.

2. Fertilization process

Traditional surrogacy uses artificial insemination to complete the fertilization process. Specifically, a processed sperm sample is injected directly into the surrogate's uterus through intrauterine insemination (IUI) to fertilize her eggs. This process is relatively simple and inexpensive, but only applies when the surrogate provides the eggs. In contrast, gestational surrogacy uses in vitro fertilization to create an embryo. In a laboratory, an egg is combined with sperm to form an embryo, which is then transferred into the surrogate's uterus. This method requires a higher level of skill and more complex medical procedures and is therefore more scientific and standardized.

3. Costs

Traditional surrogacy is usually cheaper because it does not involve advanced medical techniques such as in vitro fertilization. Artificial insemination is relatively easy to perform and requires fewer medical resources, resulting in lower overall costs. Gestational surrogacy, however, is more costly because it requires advanced medical procedures. Each step of the process, from ovulation induction, egg retrieval, in vitro fertilization to embryo transfer, requires sophisticated technical support and high investment in equipment, resulting in the total cost of gestational surrogacy being significantly higher than that of traditional surrogacy.

4. Legal issues

Traditional surrogacy can raise legal issues because the surrogate is the biological mother. In many jurisdictions, the determination of paternity is often based on the principle of "motherhood by birth", which can lead to complex legal disputes as the surrogate claims custody or guardianship of the child. Gestational surrogacy, on the other hand, has a clearer legal framework because the surrogate is not genetically linked to the baby. In such cases, it is easier for the intended parents to obtain legal paternity, reducing the number of disputes arising from genetic links.

5. Emotional impact

Traditional surrogacy may be more difficult emotionally because the surrogate is the biological mother. This dual identity may cause the surrogate to develop a deeper emotional attachment to the child, while also increasing the psychological stress on the intended parents, who fear that the surrogate will be unwilling to relinquish the child. Gestational surrogacy, on the other hand, reduces emotional challenges because the surrogate is not genetically linked to the baby. Since the surrogate only serves a maternal function, her relationship with the child is clearer and the potential for emotional entanglement is reduced. This emotional simplicity helps all parties better focus on the goal of the collaboration, which is to help intended parents realize their reproductive aspirations.

Why has modern surrogacy become more popular?

1. Technological advances

Modern surrogacy uses in vitro fertilization (IVF), which is safer and more reliable than artificial insemination.IVF technology obtains multiple eggs through ovulation induction and combines them with sperm in the laboratory to form an embryo, a process that reduces the uncertainty and failure rates associated with traditional artificial insemination. In addition, IVF allows doctors to select the best embryos for implantation. Embryo screening techniques, such as Preimplantation Genetic Diagnosis (PGD), allow embryos to be tested for the presence of genetic disorders so that healthy embryos can be selected for implantation, increasing pregnancy success and reducing the risk of birth defects in infants. This science and precision makes modern surrogacy a more efficient option.

2. Legal clarity

Modern surrogacy has fewer legal risks because the surrogate is not the biological mother. Since the surrogate performs only a gestational function and is not genetically linked to the baby, the intended parents are more likely to be recognized as the child's legal parents. Many countries and regions have legal frameworks that support gestational surrogacy, further regulating surrogacy and protecting the rights of all parties. For example, in some jurisdictions, the paternity of a gestational surrogate can be quickly recognized through legal proceedings, avoiding custody disputes that may arise in traditional surrogacy where the surrogate is the biological mother.

3. Reduced emotional risk

Intended parents prefer gestational surrogacy because the surrogate is not genetically linked to the baby. This separation makes the surrogacy relationship clearer and reduces the potential for emotional conflict. In traditional surrogacy, the surrogate, as the biological mother, may have a deeper emotional attachment to the child and may even be reluctant to relinquish custody. In gestational surrogacy, on the other hand, because the surrogate is only "gestating", the lack of a genetic bond between her and the child helps the parties to focus on the goals of the partnership and reduces the risk of breakdown due to emotional entanglements.

4. Legal considerations in surrogacy

Both types of surrogacy require a surrogacy contract to clarify the rights and responsibilities of all involved. Surrogacy agreements usually include fee arrangements, medical decision-making authority, and custody of the child after birth, ensuring that all parties have something to go on during the course of their partnership. However, laws regarding surrogacy vary from country to country and region to region. Some places do not allow traditional surrogacy due to legal risks, especially if the surrogate serves as the biological mother, which can lead to complex paternity disputes. In contrast, gestational surrogacy receives more support because of its clearer legal definition.

5. Parental orders

In gestational surrogacy, it is easier to obtain a parental order because the surrogate is not the biological mother. A parental order is a legal document that confirms the intended parents' legal custody of the child. In traditional surrogacy, obtaining a parental order can be more difficult due to the surrogate's genetic link, requiring additional legal proceedings to dissolve the surrogate's mother-child relationship. Gestational surrogacy, on the other hand, simplifies the legal process by separating the genes from the function of conception, allowing the intended parents to establish legal status more quickly, which is one of the key reasons for its popularity.

Advantages and disadvantages of each type

Traditional surrogacy

vantage

Traditional surrogacy is less expensive because it relies on simpler medical procedures such as artificial insemination. Artificial insemination completes the fertilization process by injecting sperm directly into the surrogate's uterus, eliminating the need for costly laboratory operations or complex medical equipment. This approach is more attractive to families with limited financial resources and also reduces the complexity of medical intervention.

drawbacks

However, traditional surrogacy poses a higher risk of legal disputes because the surrogate is the biological mother. In many jurisdictions, the principle of "motherhood by birth" may allow the surrogate to claim custody of the child, leading to custody disputes. In addition, this genetic link can lead to emotional challenges. The surrogate may develop a deeper emotional attachment to the child, while the intended parents may face psychological pressure from the surrogate's unwillingness to relinquish the child. This emotional entanglement increases the uncertainty of cooperation.

Modern Surrogacy

vantage

Modern surrogacy has a clearer legal framework because the surrogate is not genetically linked. Since the surrogate performs only a maternal function and is not biologically related to the baby, the intended parents are more likely to be recognized as the legal guardians of the child. This not only simplifies the legal process, but also reduces the number of disputes arising from genetic links. In addition, modern surrogacy reduces emotional complexity because the lack of a genetic link between the surrogate and the child makes the relationship between the parties clearer and reduces the likelihood of emotional conflict.

drawbacks

However, modern surrogacy is more costly due to the need for advanced medical procedures such as in vitro fertilization (IVF). Each step of the process, from ovulation induction and egg retrieval to embryo transfer, requires sophisticated technical support and high costs, which can be a heavy financial burden for many families. In addition, modern surrogacy requires more time and planning, including embryo screening, signing of legal agreements, and medical arrangements, and the entire process can take months or more. These factors make modern surrogacy, while highly scientific, a relatively high barrier to implementation.

Which option is right for you?

Choosing traditional or modern surrogacy depends on your needs and situation. Here are some factors to consider:

  • Cost: Can you afford the high cost of modern surrogacy? Do you prefer the low cost of traditional surrogacy?
  • Legal Risks: Are you comfortable with the legal risks of traditional surrogacy? Do you wish there was a clearer legal framework for modern surrogacy?
  • Emotional factors: how important is it for you to avoid emotional complexity? Are you comfortable with a surrogate as a biological mother?
  • MEDICAL PROCEDURES: Would you prefer to use advanced medical procedures such as in vitro fertilization? Do you prefer simpler methods such as artificial insemination?

common problems

Q1, What are the main differences between traditional and modern (gestational) surrogacy?

Answer: Traditional surrogacy uses the surrogate's eggs, fertilization is accomplished through artificial insemination, and the surrogate is the biological mother; modern surrogacy implantation of the intended parents' or donor's embryos into the surrogate's uterus is accomplished through IVF, and the surrogate is not genetically linked to the baby.

Q2. Why is modern surrogacy more popular?

Answer : Modern surrogacy is widely chosen despite its high cost due to the use of in vitro fertilization technology, a clear legal framework, fewer disputes over genetic links, a simpler emotional relationship, and safer and more reliable technology.

Q3. What are the factors to consider when choosing a surrogacy method?

Answer : The choice needs to be based on a combination of cost, legal risks, emotional factors and medical procedures. Traditional surrogacy is low cost but high legal risk, modern surrogacy is scientific and standardized but high cost.

reach a verdict

Surrogacy is a great way for people to have babies when they are unable to have them on their own, and has brought hope to many families. The two main forms of surrogacy are traditional surrogacy, which uses the eggs of the surrogate, and modern surrogacy, which achieves conception through laboratory-created embryos. Modern surrogacy is more popular today due to its use of in vitro fertilization technology, which is safer and more reliable than artificial insemination, and a clearer legal framework that reduces disputes over genetic links, as well as being emotionally easier. However, traditional surrogacy is still a viable option for those on a budget or looking for a simple process. Before making a decision, be sure to consult with a fertility specialist and a surrogacy agency who can provide expert advice and help you fully understand the options so you can make the best decision for your family.