Surrogacy in India is now tightly restricted. Under the Surrogacy (Regulation) Act, 2021, commercial surrogacy is banned, and altruistic surrogacy is limited to eligible Indian married couples and certain Indian women. Foreign nationals are not eligible. NRIs who remain Indian citizens may fall within the Act, subject to its conditions; the position of OCI cardholders has been contested in court. If you live abroad and are considering surrogacy in India, take current, independent legal advice before you do anything else — and treat any offer that sounds easy as a warning sign.
Key points
- Surrogacy is governed by the Surrogacy (Regulation) Act, 2021, which is separate from the ART Act that governs IVF.
- Commercial surrogacy is banned. Only altruistic surrogacy is permitted, for eligible intending parents.
- Foreign nationals are not eligible.
- NRIs who are Indian citizens may be eligible, subject to the Act's conditions, including a medical indication and certificates.
- The position of OCI cardholders has been contested in court; take current legal advice.
- Your country of residence's law on parentage and citizenship also matters.
Why this is different from IVF
IVF and surrogacy are governed by different laws in India. IVF, IUI and donor-gamete treatment fall under the ART (Regulation) Act, 2021, which is open to married couples and single women — including foreign nationals (see what Indian law allows for foreigners). Surrogacy falls under the separate Surrogacy (Regulation) Act, 2021, which is far more restrictive and focused on Indian intending parents.
So a clinic that can lawfully offer you IVF may not be able to offer you surrogacy at all. That is not the clinic being unhelpful — it is the law.
The core rules, in outline
- Commercial surrogacy is banned. A surrogate cannot be paid a fee. Only altruistic surrogacy — where she is not paid beyond permitted costs such as medical expenses and insurance — is allowed.
- Intending parents must be eligible. The Act limits surrogacy to Indian married couples and certain Indian women (widowed or divorced, within set age limits) who meet its conditions.
- There must be a medical reason. Surrogacy is meant for those who medically need it, not as a matter of preference.
- Certificates are required. The process involves eligibility and essentiality certificates issued by the appropriate authorities, and orders relating to parentage and custody, before treatment proceeds.
- The surrogate must also be eligible. The Act sets conditions for who can act as a surrogate.
- Clinics must be registered specifically as surrogacy clinics under the Act — separate from ART registration.
The detailed conditions — ages, marriage duration, the list of accepted medical indications, rules about the surrogate, and whether and how donor gametes can be used — are set out in the Act and its rules, and some have been amended or interpreted by courts since 2021. We deliberately don't list them here, because a summary can go out of date quickly. Check the current rules with a lawyer and a registered surrogacy clinic.
How the process is structured, in general terms
The lawful route involves medical, administrative and legal steps, broadly in the order below. The exact requirements, authorities and sequence are set by the Act, its rules and state-level arrangements, and may have changed; treat this as orientation only and confirm each step with your lawyer.
- Independent legal advice on whether you are eligible, given your citizenship, marital status and residence.
- Medical assessment to establish and document whether there is a medical indication for surrogacy that the Act recognises.
- Certificates from the appropriate authority — the Act refers to certificates confirming the intending parents' eligibility and the medical need for surrogacy.
- A court order on parentage and custody of the child, obtained before the process proceeds.
- Insurance for the surrogate, which the Act requires intending parents to arrange.
- Treatment at a registered surrogacy clinic, with the surrogate's own eligibility confirmed.
- Birth registration and travel documents for the child, which for parents living abroad also depend on the law of their home country.
Each stage can take time, and some may require you to be present in India. Parents who live abroad should ask their lawyer for a realistic estimate of how long the process might take and how many trips it could involve, before making travel or employment plans.
Foreign nationals: not eligible
If you are not an Indian citizen and don't hold an OCI card, surrogacy in India is not open to you under the current law. This applies however strong your connection to India, and whether or not your spouse is of Indian origin. There is no visa category that makes it possible.
If you are in a mixed-nationality marriage — one partner an Indian citizen, the other not — whether the couple counts as eligible is a legal question to put to a lawyer. Don't assume either way.
NRIs who are Indian citizens
“NRI” is a residence and tax term, not a nationality. An NRI who holds an Indian passport is an Indian citizen, and the Act's eligibility is framed around Indian intending parents, so NRIs are not automatically excluded. But citizenship alone isn't enough. The Act sets conditions such as a medical indication and eligibility certificates, along with others; check the current rules.
In practice, living abroad adds complications worth raising with a lawyer early:
- Certificates and court orders are issued by authorities in India — understand which authority applies to you and whether you need to be present.
- The process takes time, and much of it may need to happen in India.
- Your country of residence has its own laws on surrogacy, parentage, citizenship for the child, and travel documents. A surrogacy that is lawful in India may still raise questions at home.
- The medical indication generally needs to be documented — bring your full records (see documents needed for IVF in India).
Keep in mind that the documents you will need — proof of citizenship, marriage, age and the medical indication — may have been issued in different countries. Ask your lawyer early which of them must be translated, attested or apostilled for use before Indian authorities, as this can take several weeks.
OCI cardholders: a contested question
Overseas Citizens of India are not Indian citizens, though they hold a lifelong status with many rights in India. Whether OCI cardholders can access surrogacy under the Act has been the subject of court challenges, and the answer has not been straightforward. Some individual cases may have been decided in particular ways; that doesn't necessarily tell you how your own situation would be treated.
If you hold an OCI card and want to explore surrogacy in India:
- Take up-to-date legal advice from a lawyer who works on Indian surrogacy law.
- Ask specifically about the current position for OCI cardholders and any recent court decisions.
- Ask about your home country's law too — parentage and the child's citizenship.
- Do not pay anyone, or start any medical process, until the legal route is clear.
The law in your country of residence
Even where surrogacy in India is lawful for you, your country of residence has its own rules. Some countries restrict or prohibit surrogacy, including arrangements made abroad; others have specific procedures for recognising parentage after a surrogacy birth. These rules can affect:
- Who is recognised as the child's legal parents in your home country.
- Whether, and how quickly, the child can obtain citizenship and a passport.
- Your entitlement to parental leave and other benefits.
- Whether any part of the arrangement is treated as an offence at home.
If you hold dual residence ties — for example, Indian citizenship with long-term residence in another country — ask a lawyer in each country. Advice from one jurisdiction does not answer questions about the other.
Common mistakes to avoid
- Relying on older information. Articles and forum posts written before 2021, or before later amendments and court decisions, may describe a system that no longer exists.
- Treating OCI status as citizenship. OCI cardholders are not Indian citizens, and their position under the Act has been contested.
- Starting medical steps before the legal route is clear. Creating embryos with a view to surrogacy does not make an ineligible arrangement lawful.
- Paying an intermediary. Payments to agents to find a surrogate are a strong sign that an arrangement is commercial.
- Assuming a clinic's willingness means eligibility. The responsibility for following the law does not rest with the clinic alone.
Warning signs that an offer isn't lawful
- A price that includes a payment to the surrogate beyond permitted expenses.
- A promise to “find” or “match” a surrogate for you for a fee.
- No mention of eligibility or essentiality certificates or court orders.
- Surrogacy offered to foreign nationals, unmarried couples, single men or same-sex couples.
- Suggestions to move the surrogate or embryos to another country to get around Indian law.
- Requests to pay an individual, in cash, or without a receipt.
- Pressure to decide quickly, or to keep the arrangement quiet.
- No surrogacy-clinic registration number you can verify.
See also red flags when visiting an IVF clinic.
Questions to ask a lawyer and a clinic
For a lawyer
- Based on my citizenship, marital status and residence, am I eligible under the current Act and rules?
- What certificates and orders do I need, from which authorities, and in what order?
- Do I need to be in India for any of the steps? For how long?
- How does my home country treat parentage and citizenship for a child born through surrogacy in India?
- Have there been recent court decisions or amendments that affect someone in my position?
For a clinic
- Are you registered as a surrogacy clinic under the Surrogacy Act? What is the registration number?
- Are you also registered under the ART Act?
- What documents do you need from me before any medical step?
- What are the costs you charge, and what permitted expenses would be involved for the surrogate?
Alternatives to consider
If surrogacy in India isn't available to you, or the route is uncertain, there may still be options. Which ones suit you is a medical and personal question for your doctors.
- A thorough second opinion. Sometimes the reason surrogacy was suggested deserves a fresh look — for example after repeated implantation failure. See a second opinion after repeated IVF failure and how to get a better second opinion.
- IVF with donor eggs or sperm, which is available to eligible couples and single women, including foreign nationals, through registered ART banks. See donor egg IVF for international patients.
- Surrogacy in your country of residence, or another country where it is lawful for you — with legal advice in that country.
- Adoption, through the lawful channels in India or your home country.
- Counselling and support while you work out what's right for you. See emotional support during IVF abroad.
Choosing a lawyer
Because eligibility turns on detailed and changing law, the choice of legal adviser matters. When selecting a lawyer, consider the following:
- Relevant experience. Ask whether they advise regularly on the Surrogacy (Regulation) Act, 2021, and whether they are familiar with recent court decisions and amendments.
- Independence. Prefer a lawyer you have found independently, rather than one introduced by an agent who stands to gain from the arrangement going ahead.
- Both jurisdictions. Ask whether they can advise on your home country's law, or can work with a lawyer there.
- Written advice. Ask for their conclusions on your eligibility in writing, with the reasons.
- Clear fees. Ask for the fee structure in writing before work begins.
A lawyer who says there is no uncertainty in a situation that courts have been asked to decide — such as the position of OCI cardholders — should be asked to explain the basis for that view.
Next steps
Start with legal advice, not a clinic. Once you know where you stand, read our plain-English guide to the ART Act and donor and surrogacy rules under the ART Act. If IVF in India is the right route, browse clinics set up for patients from abroad on our international patients page or our NRI-friendly collection.
