Gestational Surrogacy Programme in Delhi
The full clinical pathway for eligible couples — embryo creation, surrogate preparation, transfer and antenatal care.
What gestational surrogacy programme involves
Where eligibility under the Surrogacy (Regulation) Act 2021 has been established, the clinical programme runs in three phases: an IVF cycle using the intending couple's own gametes to create and freeze embryos, preparation of the approved surrogate's endometrium, and the transfer itself followed by antenatal care of the surrogate pregnancy.
The clinical work is the straightforward part. The documentation, certification and insurance requirements are where most surrogacy arrangements in India stall, which is why our eligibility assessment comes first and is deliberately blunt.
Who this is for
- Absent uterus, or hysterectomy for any reason
- Congenital uterine anomalies incompatible with carrying a pregnancy
- Repeated implantation failure with a documented uterine factor
- Medical conditions in which pregnancy would endanger the intending mother
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Eligibility and certification
Certificate of essentiality and certificate of eligibility prepared and submitted to the appropriate authority.
Embryo creation
A standard IVF or ICSI cycle using the intending couple's gametes; all embryos vitrified.
Surrogate screening and preparation
Medical and psychological screening as the Act requires, followed by endometrial preparation.
Transfer and antenatal care
Single embryo transfer, then full antenatal monitoring of the surrogate pregnancy through to delivery.
Your results, in writing
Whatever the outcome of gestational surrogacy programme, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: A hysterectomy at 31, and a path that took fourteen months
34, Vasant Vihar · hysterectomy for postpartum haemorrhage · wanting a second child
What she came in with
An emergency peripartum hysterectomy for uncontrollable haemorrhage after her first delivery at 31. Her ovaries had been conserved. Three years later they wanted a second child.
What the workup showed
Ovarian function was entirely normal with an AMH of 2.6 ng/ml. The medical indication for surrogacy — absent uterus — was unambiguous. Her sister-in-law, who met the Act's age, marital and prior-childbirth requirements, was willing to be the surrogate.
What we did
Eligibility assessed and the certificates of essentiality and eligibility prepared with legal counsel before any clinical work began. An IVF cycle then created and froze five blastocysts. The surrogate was screened, counselled and insured as the Act requires, and her endometrium prepared.
Outcome
A single blastocyst transfer produced an ongoing pregnancy, monitored throughout as a high-risk pregnancy, delivered at 38 weeks.
The point of this case
The clinical work took four months; the certification took ten. Doing the eligibility and documentation first meant the IVF cycle was not paid for and then stranded.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Eligibility assessed honestly before a rupee is spent
Full compliance with the Surrogacy (Regulation) Act 2021 and its rules
Insurance and documentation requirements handled alongside legal counsel
Single embryo transfer only — a twin surrogate pregnancy is a risk nobody should accept
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about gestational surrogacy programme
Is commercial surrogacy allowed in India?
No. Only altruistic surrogacy is permitted, for eligible Indian married couples with a certified medical indication, with the surrogate a willing relative meeting the Act's criteria. Any clinic or agent suggesting a paid arrangement is operating outside the law.
Who can be a surrogate?
The Act sets out specific requirements including age range, marital status, having borne a child of her own, and a limit of one surrogacy in a lifetime, with mandatory insurance cover. We verify each of these before proceeding.
How long does the whole process take?
Clinically, three to four months from starting the IVF cycle to transfer. The certification process runs alongside and is usually the rate-limiting step.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.