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US surrogacy is legal in most states but typically costs well over $150,000. Militta runs gestational surrogacy programs in Kyiv and Tbilisi for married US couples at $41,500–$68,000 (Ukraine) and $52,500–$82,500 (Georgia), with the birth certificate issued in your names and the documents your embassy needs for the Consular Report of Birth Abroad.
Surrogacy in the United States is well regulated in most states, and that is exactly what makes it expensive.
All-in US programs with agency, surrogate compensation, IVF, insurance and legal fees are commonly quoted at $150,000–$250,000. Insurance for the surrogate’s pregnancy is often the largest unknown.
US agencies match a limited number of surrogates; waits of a year or more for a match are common.
A few states still restrict compensated surrogacy or pre-birth orders, which pushes couples to other states or abroad.
Nothing in US federal law prevents US citizens from using a surrogacy program in Ukraine or Georgia. The child acquires US citizenship at birth if the statutory conditions on genetic link and the parent’s physical presence in the US are met.
Militta is a surrogacy and egg donation agency based in Kyiv since 2017. We run programs in Ukraine with the partner clinic “Lita” and in Georgia with the partner clinic ReproART in Tbilisi. Both countries name the intended parents on the birth certificate by law.
Married heterosexual couples with a medical indication. $41,500–$68,000. Entry overland from Poland while airspace is closed; programs take 12–18 months.
Married and cohabiting heterosexual couples. $52,500–$82,500. Direct flights from many European hubs; the country, not the US state.
The medical program is the same for every nationality. Three points matter for a US couple.
US citizenship passes to a child born abroad only through a genetic or gestational US citizen parent. In surrogacy that means at least one of you must be the genetic parent, and the embassy usually asks for a DNA test. Donor eggs or sperm can be used for the other parent.
The US citizen parent must have lived in the US for the period the law requires before the birth (five years, two of them after age 14, when only one parent is a citizen). Check this before you start; it cannot be fixed afterwards.
The US Embassy in Kyiv and the US Embassy in Tbilisi issue the Consular Report of Birth Abroad and the passport. Appointment availability sets the timeline; allow three to five weeks after the birth.
The same six stages apply in Ukraine and Georgia. Most couples travel twice: a short trip for the agreement and egg retrieval, and a longer stay around the birth.
You tell us your country, marital status and medical history. We say honestly whether Ukraine, Georgia or neither fits your case, and send a written quote.
Apostilled marriage certificate, medical letter, passports. Partner lawyers prepare the surrogacy agreement in English and the local language. Signing takes one short trip, or can be arranged by proxy where the law allows.
Egg retrieval from the intended mother or a screened donor, embryo creation and PGT if requested. The surrogate is matched after medical and psychiatric screening; you approve the profile.
Embryo transfer at the partner clinic. Monthly reports after every check-up, ultrasound scans by email or video call. The surrogate moves to agency accommodation in the capital from week 28.
Delivery in a state maternity hospital in Kyiv or a clinic in Tbilisi. You are notified when labour starts and can be present at the birth.
The local birth certificate is issued in your names within days. Your coordinator books the embassy appointment and prepares the apostilled translations your country requires.
The steps after the birth, in the order they happen.
Local birth certificate in your names (Ukraine: civil registry office, usually within a week; Georgia: Public Service Hall).
Apostille and certified English translation of the birth certificate; copies of the surrogacy agreement and the clinic’s treatment records for the embassy.
DNA test through an AABB-accredited laboratory if the embassy requests it; Militta arranges the sample collection.
CRBA and US passport appointment at the US Embassy. Both parents attend with the baby; the passport is issued in about a week.
Travel home: from Kyiv by train or car to Poland and then by air; from Tbilisi by direct or one-stop flights.
Militta prepares and apostilles the Ukrainian or Georgian documents, books the DNA collection and the embassy appointment, and accompanies you. US-side questions such as state recognition or a post-birth order at home should be checked with a US reproductive lawyer.
US programs are commonly quoted at $150,000–$250,000 all-in. Militta’s programs are fixed-price and include the surrogate’s compensation, IVF at the partner clinic, delivery and the legal documents.
| Program | Price | What is included |
|---|---|---|
| Ukraine · Basic | $41,500–$48,500 | One embryo transfer cycle, surrogate compensation, IVF at the partner clinic “Lita”, delivery in a Kyiv maternity hospital, legal documents |
| Ukraine · Guaranteed | $57,300–$68,000 | Unlimited transfers until a live birth, everything in Basic, replacement surrogate if needed |
| Georgia · Basic | $52,500–$62,500 | One transfer cycle at the partner clinic ReproART, Tbilisi; surrogate compensation; delivery; birth certificate |
| Georgia · Guaranteed | $75,000–$82,500 | Unlimited transfers until a live birth, replacement surrogate if needed |
Not included: your flights and accommodation, egg or sperm donation (quoted in writing), PGT, twins and caesarean delivery supplements, apostilles for your embassy, and legal fees in your own country. Prices as of October 2026. Details: surrogacy cost in Ukraine and surrogacy cost in Georgia.
Yes. Programs continue in Kyiv, the US Embassy in Kyiv issues CRBAs and passports, and intended parents enter Ukraine overland from Poland. Read our detailed note on travel and safety in 2026 before deciding.
Yes, if at least one of you is the genetic parent and meets the physical presence requirement. The embassy confirms this at the CRBA appointment, usually with a DNA test.
No. Ukrainian and Georgian law name the intended parents on the birth certificate directly. Some US states may still require a post-birth order at home; a US lawyer will advise.
Ukraine admits married heterosexual couples only. Georgia accepts married and cohabiting heterosexual couples. We say this at the first call so nobody wastes time.
Ukraine: $41,500–$48,500 (basic) or $57,300–$68,000 (guaranteed). Georgia: $52,500–$62,500 or $75,000–$82,500. Flights, accommodation and the embassy fees are extra; you get a written quote before signing.
Usually two: a short trip for the agreement and egg retrieval (if you use your own eggs), and three to five weeks around the birth for the delivery and embassy appointment.
Ukraine is the lower-cost option and has run programs for American families since the 2000s: the birth certificate is issued in your names by law, the partner clinic “Lita” and the maternity hospitals are in Kyiv, and the US Embassy in Kyiv processes CRBAs. The trade-off in 2026 is overland travel from Poland. Ukraine admits married couples only.
Georgia costs roughly $11,000–$15,000 more, has direct and one-stop flights from the US and accepts cohabiting couples. The same Militta coordinator runs both programs, and we compare them for your case during the free consultation.
Compare all destinations in our guide to international surrogacy: countries, costs and laws, or read about egg donation in Ukraine if you need a donor.
