What is a Surrogacy Hospital Plan?

25 August 2022

Surrogacy is a long journey for both the Intended Parents and the surrogate mother. It takes much longer than nine months – many Intended Parents work toward the dream of growing their family for years. 

When the big moment finally arrives and the baby is nearly due, there’s one more significant step you need to take to ensure everything goes smoothly at the hospital: A surrogacy hospital plan.

What Is a Surrogacy Hospital Plan?

A surrogacy hospital plan is an agreement between the Intended Parents and the surrogate that covers a wide variety of details of the birth experience. This agreement not only helps to set expectations, but informs the healthcare team (usually a traditional hospital staff) about their roles.

This is important because not all hospitals are experienced with surrogate births. A surrogacy hospital plan provides a blueprint for them to follow throughout the delivery and in hours and days to follow.

How to Write a Surrogacy Hospital Plan?

Like other agreements during the surrogacy journey, surrogacy hospital plans take the form of a written contract all parties agree to. Developing one starts during the drafting of the Surrogacy agreement and is fine-tuned with a pre-birth visit to the hospital where the baby will be born. During the visit, you can ask any questions about the hospital’s policies.

You might ask:

“How many people can be present in the room during C-section?”

“Do newborns stay in a nursery or in the room with the parents?”

“Can the hospital provide a separate room for the intended parents?”

Before the visit, it is a wise idea to make a list of questions you are interested in. Once you get started, you’re sure to come up with other topics, until you have everything you need to know. It may help to start your research online, but the most accurate information comes from a hospital representative.

Around the same time you are working on your surrogacy hospital plan, your attorney will advise you on the process to confirm your parentage.  Understand that hospitals do NOT issue birth certificates as those come from the state department of vital records so ask your attorney about the process and procedures for this to be handled.

Your ART Attorney Helps with Your Surrogacy Hospital Plan

Each surrogacy is different, and every part of the plan needs to be expressed in writing. For example, you probably started with a surrogacy agreement that laid down the rights and responsibilities of the surrogate and the parents. The surrogacy hospital plan varies even more from one family to the next.

Some elements a surrogacy hospital plan can cover include:

What hospital will be used for the baby’s delivery?

Who will be present in the event of a vaginal birth?

Who will be present in the event of a C-section birth?

Will the child be fed with breast milk or formula?

Who will cut the cord?

If an emergency develops, who makes what decisions?

Do all parties agree about the use of anesthesia?

Although hospitals do what they can to keep everyone safe, the differences in policy from one hospital to another can create points of contention between the surrogate and the Intended Parents. These situations are often so specific that an ART attorney’s experience is instrumental in recognizing them in advance

For instance, many hospitals allow only one person to be in the room when a baby must be delivered by C-section. The parents and surrogate must agree as to whether one of the parents will be there or if the surrogate’s partner will stay with them in that event.

With experienced and compassionate insight from an ART attorney, miscommunications can be avoided. 

9 September 2025
Building a family isn’t always straightforward—and that’s okay. Today, more people than ever are turning to assisted reproductive technology (ART) to help make parenthood possible. But if you’re hearing terms like IVF , gamete donation , or gestational surrogacy for the first time, it can feel overwhelming. This guide will help you understand what ART is, how it works, and why working with the right legal team is essential. What Is Assisted Reproductive Technology? Assisted reproductive technology (ART) is an umbrella term for medical procedures used to help people conceive a child when natural conception isn’t possible or practical. These procedures may involve handling eggs, sperm, or embryos outside the body to achieve pregnancy. Common types of ART include: In Vitro Fertilization (IVF): Eggs are fertilized in a lab to create an embryo to be transferred to the uterus. Egg or Sperm Donation: Donor gametes help intended parents who can’t use their own. Embryo Donation: A donated embryo is implanted in the uterus. Gestational Surrogacy: Another person carries a pregnancy for the intended parent(s) using their egg, sperm, or donor material. Who Uses ART? ART is used by a wide range of families, including: Couples facing infertility Single parents by choice LGBTQ+ couples building families Individuals preserving fertility before medical treatments Families who want to use genetic material from a donor or surrogate No two family-building journeys are the same—and that’s part of the beauty of ART. Why is Legal Guidance So Important? While ART offers hope and opportunity, it also raises complex legal questions that must be addressed before treatment begins. Without clear agreements and proper legal protections, issues can arise over: Parental rights: Who is recognized as the legal parent(s)? Donor agreements: What are the rights and responsibilities of egg, sperm, or embryo donors? Surrogacy contracts: How are intended parents and gestational carriers protected during the process? Parentage orders: When and how can your parentage be confirmed—before or after birth? The laws governing ART vary widely by state, which makes working with attorneys experienced in Maryland, Virginia, and Washington, DC essential. At Modern Family Formation, we help intended parents, donors, and surrogates navigate these legal steps with confidence, ensuring everyone’s rights are clear and protected. Your Next Steps as a First-Time Parent If you’re considering ART, here’s how to start your journey: Learn about your medical options by consulting a trusted fertility specialist. Discuss your goals and concerns openly with your partner, family, or support system. Work with an experienced ART attorney early to ensure agreements are in place before any procedures begin. Understand your timeline and budget , including medical, legal, and logistical costs. Final Thoughts The decision to become a surrogate carries great responsibility alongside its great rewards. Balancing compassion for the intended family with a strong commitment to one's own well-being is paramount. It's about creating life and joy within structured boundaries—one of the most beautiful endeavors a person can undertake.  Ready to start your journey? Contact Modern Family Formation today to schedule a consultation.
16 April 2025
Choosing to become a surrogate is a profoundly generous act that has the potential to bring unparalleled joy to those who need assistance with growing their families.. As an attorney at Modern Family Formation, I aim to illuminate the intricacies tied to surrogacy.
27 March 2025
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In today’s diverse family landscape, second-parent adoption has become an essential legal tool for many families, particularly for those formed through assisted reproduction, same-sex relationships, or blended families. At Modern Family Formation, we focus on adoption and assisted reproduction law across Virginia, Maryland, and the District of Columbia, and we recognize the critical importance of second-parent adoption for non-delivering parents. This legal process ensures that both parents in a family, regardless of biological connection, are recognized and protected under the law. Understanding Second-Parent Adoption Second-parent adoption, also called Confirmatory adoption, allows a non-delivering parent to gain legal recognition and parental rights without the need to terminate the rights of the biological parent. This type of adoption is particularly relevant in families where one parent is biologically related to the child, while the other is not. For example, in many same-sex couples, one partner may be the biological parent through assisted reproduction, while the other partner seeks to adopt the child to ensure equal legal standing. In some cases, the non-delivering or birth parent may be the genetic parent of the child, but will still need to adopt to secure their rights. Legal Security for Your Child The most compelling reason for second-parent adoption is the legal security it offers your child. If laws changed and your parentage was challenged, the Judgment or Order of Adoption would protect your family. This protection provided includes medical care, education, and even custody should something happen to the birthing parent. Second-parent adoption ensures that both parents can provide care and make crucial decisions throughout the child's life. Protection Across State Lines Family laws can vary significantly from state to state. Second-parent adoption creates a legally recognized relationship between a child and both parents, which is respected nationwide. This means your family can move or travel without worrying about the variability of state laws affecting your parental rights. Ensuring Inheritance Rights Without a legal parent-child relationship, a child may not automatically inherit from their non-birthing parent. Second-parent adoption safeguards a child’s right to receive an inheritance, social security benefits, or insurance payouts. It provides peace of mind knowing that, in the event of the unthinkable, your child’s financial future is protected. Emotional Stability and Recognition Beyond the legal aspects, second-parent adoption affirms the emotional bond in the family.. It validates the family unit in the eyes of society and gives the child a sense of stability and belonging. Knowing that both parents are recognized equally reinforces the child's understanding of their family structure. Facilitating Parental Responsibilities Day-to-day life involves countless interactions where parental authority is assumed or required. Picking up a child from school, authorizing a field trip, or attending a doctor’s appointment are all situations where having clear, legal parental status is essential. Second-parent adoption removes any ambiguity about who has the authority to act on behalf of the child. Preparing for the Future Life is unpredictable, and preparing for all eventualities is part of responsible parenting. Should the birthing parent become unable to care for the child due to illness or death, second-parent adoption ensures that the non-birthing parent retains full parental rights, avoiding potential custody battles with other relatives or the state. Health Insurance and Benefits Many employer health plans and government benefits extend coverage to a child only if there is a legal parent-child relationship. Second-parent adoption may become necessary for securing these benefits for your child, including health insurance, life insurance, and access to family leave if your legal relationship was challenged. Reflecting Real-Life Families Our society is evolving, and the concept of family is more inclusive than ever before. Second-parent adoption is a way for the law to catch up with reality, recognizing and protecting all family structures. It sends a message that all families, regardless of how they are formed, are valid and deserving of equal treatment under the law. Conclusion At Modern Family Formation, we believe that every family should have the opportunity to secure their bonds through the full extent of the law. Second-parent adoption is not just a legal formality; it's a crucial step in safeguarding the well-being of children and the rights of non-biological parents. It's about ensuring that love, not just biology, defines what it means to be a family. If you're considering second-parent adoption, know that you're taking a powerful step towards protecting your family's future. If you have questions or would like to learn more about second-parent adoption, please contact Modern Family Formation today!
10 September 2024
Adoption is a profound journey that reshapes family boundaries, often bringing immense joy and fulfillment. Among the various forms of adoption, kinship adoption stands out as a unique opportunity to maintain biological family ties while providing children with the stability and love they need. As an adoption attorney, I have witnessed firsthand the transformative power of kinship adoptions and the myriad benefits they offer to both children and families. Preserving Family Bonds Kinship adoption occurs when a child is adopted by a relative or a person with whom they share a significant emotional bond. This could be a grandparent, aunt, uncle, adult sibling, or cousin.. One of the most significant advantages of this arrangement is the preservation of familial connections. Children in kinship adoptions may experience less trauma compared to non-relative adoptions because they are placed in a familiar environment, with people they already know and trust. Continuity of Culture and Identity Children thrive on continuity, and kinship adoption can provide a sense of identity and belonging that is crucial for their development. By staying within their biological family, children can maintain their cultural heritage, traditions, and language. This continuity can help to foster a strong sense of self and supports a smoother transition into their new family dynamic. Strengthening the Support Network Kinship adoption not only benefits the child but also strengthens the support network for the adoptive family. Relatives often have an established relationship and understanding of the child's background and needs. This shared history can make it easier for the family to navigate challenges and celebrate successes together. Legal and Financial Considerations From a legal standpoint, kinship adoption can be more straightforward than other types of adoption. Since the adoptive parents are already related to the child, there may be fewer hurdles to overcome in terms of custody and parental rights depending on the circumstances. Additionally, some states offer financial assistance and resources specifically for kinship adoptions, helping to alleviate potential economic burdens. Emotional Stability and Well-Being Children in kinship adoptions generally benefit from greater emotional stability. They may be less likely to feel abandoned or rejected since they remain within their family unit. This stability is essential for their emotional well-being and may lead to better outcomes in terms of mental health, academic performance, and social relationships. Conclusion Kinship adoption is a compassionate choice that can enrich the lives of everyone involved. It offers a way to keep families together, preserve important bonds, and provide children with the love and security they deserve. As an adoption attorney, I am committed to supporting families through this process, ensuring that the best interests of the child are always at the forefront. If you are considering kinship adoption, we encourage you to explore this rewarding path and discover how it might benefit your family and your loved ones. Learn more about kinship adoption now.
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Discover why surprising your stepparent with adoption paperwork isn't feasible, but learn how to approach this heartfelt gesture in a meaningful way. Explore the emotional and legal aspects of stepparent adoption today.
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13 April 2023
When they want to grow their family, many aspiring parents use a surrogate. A surrogate carries a baby to term on behalf of the parents. Upon birth, paperwork is filed to transfer all rights to the parents.
23 March 2023
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