Written by Caroline Shannon
November 7, 2022
Learn which health, pregnancy, and practical factors may affect surrogate eligibility, what needs individual review, and how to find out whether you qualify.
What Disqualifies You From Being a Surrogate?
If you're thinking about becoming a surrogate, it's natural to wonder whether something in your health history or everyday life could prevent you from qualifying.
Not having previously given birth, falling outside a program's eligibility guidelines, certain health or pregnancy concerns, and difficulty meeting the practical requirements can affect whether you move forward. Some factors may mean surrogacy is not appropriate; others require additional information or a different timeline.
An online checklist cannot determine your eligibility. Nodal's initial review and the fertility clinic's medical evaluation have different roles, and both matter.
This guide explains the questions that may come up so you can have a more informed conversation about your circumstances.
A surrogacy program sets its own participation requirements. A fertility clinic determines whether a proposed gestational carrier is medically appropriate for treatment.
Meeting the initial criteria does not guarantee clinical approval. Equally, being outside one program's guidelines is not a universal medical judgment about you.
For a broader overview, read Surrogacy Requirements: Who Qualifies to Become a Surrogate?.
Having no previous pregnancy and delivery generally prevents someone from meeting gestational-carrier selection criteria. The ASRM's recommendations advise a previous term, uncomplicated pregnancy.
Nodal's current program page also requires candidates to have experienced a successful pregnancy and to be parenting at least one of their children. Sharing your complete pregnancy history helps the team understand whether the initial criteria are met.
Your prior obstetric records are an important part of review. A history involving preeclampsia, preterm delivery, gestational diabetes, or pregnancy loss should be disclosed so the medical team can assess it accurately.
The condition's details, severity, treatment, and outcome matter. Avoid relying on someone else's approval or denial as a prediction of your own.
Gathering records can help answer questions that a short application cannot. Our guide to medical screening for surrogacy explains this stage in more detail.
A previous C-section does not necessarily rule out surrogacy. The clinic will review your delivery history, including the number of cesarean deliveries, any complications, and recovery.
It is important to provide accurate records rather than assuming that a previous surgery makes you ineligible.
Read Can You Become a Surrogate After a C-Section? for a closer look at the questions involved.
Programs and clinics may use different age and BMI thresholds. Nodal's current surrogate-program page lists an age range of 21–41 and a BMI below 32.
These are Nodal's published participation criteria, not a universal definition of who can have a healthy pregnancy. The clinic also reviews your broader health and pregnancy history.
If you are unsure about a threshold or how it applies to you, ask the team before assuming an exception is available or changing your plans. Current criteria are listed on the Nodal surrogate-program page.
Disclose current diagnoses, treatments, and medications during screening. The medical team needs that information to assess readiness for fertility treatment and pregnancy.
A prescription is not enough information for an online article to determine whether you qualify. Mental health history is also part of review, and decisions should account for your well-being and the relevant program and clinic requirements.
Do not stop or change medication to try to qualify for surrogacy. Discuss any proposed change with your prescribing clinician.
Nodal requires prospective surrogates not to smoke or use drugs. Be open about nicotine products, substance use, and any prescribed treatment rather than guessing what the application means.
If you're uncertain about a specific product, medication, or past history, ask the screening team to clarify how it is reviewed. Accurate disclosure gives the care team the information it needs.
Nodal's current program page states that candidates must not financially rely on government assistance. If you or someone in your household receives benefits, ask the team how the current policy applies to the specific benefit and your circumstances.
A current eligibility conversation should use the program's confirmed policy rather than assuming every benefit is treated identically.
Surrogacy compensation should not be the solution to an immediate financial emergency. Before committing, ask when payments begin and how expenses are handled. A journey can involve delays, and treatment may not result in pregnancy.
Surrogacy involves appointments, possible travel, pregnancy care, and recovery. Your team will want to understand how those commitments fit with work, childcare, and other responsibilities.
Nodal asks candidates to have reliable personal support and the ability to travel to appointments. Think about who could help if an appointment changes or you need additional care.
If you have a partner, discussing these expectations early can help. Our guide to talking to your partner about becoming a surrogate offers a starting point.
Tell the team about your own family-building plans. They are important to deciding whether surrogacy is the right step and whether it meets the program's current requirements.
Pregnancy carries risks, and a surrogacy journey should not begin without considering your own reproductive goals. Ask directly about Nodal's family-completion policy rather than relying on an older article or another program's rules.
Your location can affect whether a program can work with you and how the legal process is handled. Nodal's published criteria require residence in a surrogacy-friendly state.
Ask the team and a qualified attorney to assess your situation. Avoid relying on a dated list of eligible or ineligible states, since laws can change.
Ask whether the decision concerns a program requirement, medical finding, missing information, or timing. The answer can help you understand whether further review is appropriate or whether the process should stop.
There may be circumstances where a later application is possible, but reapplying is not a promise of approval. You should not feel pressure to change treatment, rush recovery, or rearrange your family plans to qualify.
Your interest in helping another family matters. So do your health, your responsibilities, and your ability to make an informed choice.
You don't need to resolve every eligibility question on your own. If you're interested and unsure where you stand, the Nodal team can explain the initial requirements and what may need further review.
Learn about becoming a surrogate with Nodal and begin your application when you're ready.