No, surrogacy is not 100% successful — but it has a high success rate, especially with modern medical advances and experienced clinics.
Surrogacy, like any fertility treatment, involves many biological and medical factors that influence the outcome. While it offers hopeful parents a real path to parenthood, success is never absolutely guaranteed.
What Affects Surrogacy Success Rates?
Several factors can impact whether a surrogacy journey results in a successful pregnancy and birth:
- Embryo Quality
The health of the embryos, often influenced by the age and fertility of the egg donor or intended mother, plays a crucial role. - Surrogate’s Health
A healthy, carefully screened surrogate with a history of smooth pregnancies can significantly increase the likelihood of success. - IVF and Transfer Procedures
Even under optimal conditions, IVF (in vitro fertilization) doesn’t guarantee implantation. Success can vary with each cycle. - Clinic Experience
Reputable fertility clinics using the latest technologies and protocols typically have better-than-average success rates.
More: What Is the Difference Between Surrogacy and IVF?

How Successful Is Surrogacy Today?
According to U.S. fertility data:
- The average success rate for a gestational surrogacy cycle is around 60–75% per embryo transfer.
- With multiple embryo transfers, cumulative success rates rise significantly.

What You Can Do to Improve Your Chances
- Choose a licensed and experienced surrogacy agency or clinic
- Ensure embryos are genetically screened (PGT-A) when possible
- Select a surrogate who meets strict health and lifestyle criteria
- Maintain clear legal and emotional support throughout the journey

Final Thoughts
While surrogacy isn’t 100% foolproof, it’s one of the most reliable family-building methods for many intended parents. With proper medical care, legal guidance, and support, the chances of a successful outcome are very high — and absolutely worth pursuing for many families.