Procedure Description

Rotunda offers Gestational Surrogacy in India to people of all nationalities. All couples including lesbian and gay couples and even single men and single women can avail this facility to fulfill their dream of enjoying parenthood.

Requirements of egg and sperm donors: donors are tested to confirm they are free of HIV, hepatitis B and C infections, sexually transmitted diseases, hypertension and other diseases.

Requirements for the surrogate mother: Rotunda can provide Indian surrogates recruited through advertisements in local newspapers. All surrogates taken into the program are between 21-35 years of age. They are married with previous normal deliveries and healthy babies. The surrogate is also run through HIV and other infectious disease screening, other serological screening , and Thalessemia screening.

Rotunda starts the surrogate on Estrogen tablets to prepare her endometrium from the first day of her menses. Subsequently, Gonadotropin injections will be started for the genetic mother from day 1 of her menses. The genetic mother will be taking an injection daily for approximately 10 days by which time she will have formed mature eggs in both her ovaries. The egg pick-up will be around Day 13 and the genetic father will be required to give his semen sample on that day. An ultrasound guided embryo transfer will be done for the surrogate by Day 15. She will then be on certain tablets & injections for luteal support and a pregnancy test done 15 days later will confirm if she is pregnant.

The intended parents will need to visit the clinic at least twice. The first visit is for a maximum of fifteen days initially to undergo the IVF cycle. The subsequent visit is directly around the expected date of confinement of the surrogate.

Regular updates about the surrogate's progress are provided by email. The surrogate will be under the care of Rotunda's efficient obstetricians till term and then delivered in a hospital, often Hirandani hospital. The baby will be handed to the Genetic parents/Intended parent immediately after birth.

The birth certificate will be issued in the name of the Genetic parents/Intended parent. You will need to find out prevailing laws in your country or from your respective consulate in Mumbai to facilitate and expedite the process for you to carry your baby back to your hometown.

Rotunda has worked with couples from many countries including US, UK, Israel, Bahamas, Spain, Canada etc. In fact, they have a special program for international patients called The Rotunda Overseas IVF Patient (ROIP) Program. Rotunda has access to a team that takes care of visitors from the time they set foot at the airport and provides assistance in matters including hotel bookings, hospital stay arrangements, ticketing and visa, local transport, sightseeing etc.

Rotunda customizes the program for each patient, rather than taking a one-size-fits all approach, which has ensured a good success rate for the facility. Self reported surrogacy success rates improved from 36% in 2000 to 51% in 2007.

USD Cost
US$ 25,000
Cost Includes

(Note that the exchange rate fluctuates but that US$1 = approx Rs 45)

The following are the payments to be made by the Genetic/Intended couple towards each new Gestational Surrogacy Cycle:

Rs 28,000: Cost for advertisement(s) for recruiting the surrogate.

Rs 100,000: Initial payment for preparation of the Surrogate Endometrial Preparation including the Embryo Transfer Fees. This is a non-refundable fee.
To be paid before the treatment cycle begins.

Rs 350,000: Payment is towards reimbursement to the surrogate with Professional Fees for her antenatal care. This fee is to be paid within 7 days of the Surrogate testing positive for pregnancy. This is a non-refundable fee.
The break-up of fees being Rs 50,000 for her antenatal care and the remainder divided equally for re-imbursement in three trimesters.
*In case of a miscarriage in the first trimester, the fees for two trimesters are deducted. In case of a miscarriage in the second trimester, the surrogate gets all three trimesters’ fee.
* There is additional compensation of Rs.50,000 to the surrogate in case she carries twins.

Rs. 50,000 Payment for housing the Surrogate in the Surrogate House, where she stays for all 9 months of pregnancy under supervision of a social worker. There will be a cook + maids who will cater to the inmates. She will live in clean & hygienic environment with home-made nutritious food being served.

Rs 50,000: This is a refundable deposit towards payment of any hospital fees for any antenatal emergency admission or a multi-fetal reduction procedure that the surrogate may require. This fee is to be paid within 7 days of the Surrogate testing positive for pregnancy. Any additional emergency expenses beyond this Refundable Deposit will be paid directly to the treating hospital by the Genetic/Intended Parents.

Any selective multi-fetal reduction required in the first trimester will be paid out from this deposit, the Fees for the same being Rs 10,000 for reduction per fetus.

Cost of delivery is additional, approximately Rs 30,000 for a normal delivery and Rs 50,000 for a Caesarean delivery to be paid to the maternity hospital directly at the time of the Surrogate’s delivery.

Additionally, in case of death of the surrogate, there is also a one-time compensation of Rs 10,00,000 to be given to the Surrogate’s family. We are taking this liability on us. The intended parents will pay an Insurance premium of Rs 90,000 to Rotunda once the fetal hearts are confirmed. This is a one time non-refundable fee that will waive off all liability from the intended parents in case of death of the surrogate.

Cost of IVF/ICSI is additional:
Self IVF/ICSI Cycle fees: Rs 55,000 plus the cost of Fertility injections. These cycle fees must be paid before the day of egg retrieval.
Cost of injections approx. Rs 65,000 depending on the age of patient and dose of injections you require. This payment is to be made immediately upon purchase of the injections.

Fees for Monitoring Any Third Party in the Process (Eg Your Egg Donor or your Surrogate): Rs 15,000

Laparoscopic Ovum Pick-up (If required): Rs 35,000 in addition to the IVF/ICSI cycle fees.

Donor Egg Cycle fees: Rs 175,000 --- includes Egg Donor reimbursement, fees for fertility injections for the Egg donor and the IVF cycle fees.
50% payment to be done prior to starting the cycle and the remaining must be paid before the day of the Donor’s egg retrieval procedure. Rs 40,000 will be additional payment in case you opt for the entire crop of eggs retrieved in the treatment cycle.

Cryo-preservation of Supernumerary Embryos: Rs 45,000

Frozen Embryo Transfer Fee: Rs 45,000

Diagnostic Hysteroscopy (If required): Rs 20,000
TESA (If required): Rs 30,000
PESA (If Required): Rs 25,000

Blogs from people that went to Rotunda

Niels and Alexander's dream
Rotunda, baby born January 2010
Peter's Surrogacy Blog
Rotunda, baby born August 2009
Bonjour Parenthood!
Rotunda, baby born July 2009
Spawn of Mike and Mike
Rotunda, baby born April 2009
The Bombay Baby
Rotunda, baby born April 2009
Rotunda, baby born July 2008
Akanksha Infertility and IVF Hospital (Anand)
Switzertwins Weblog
Rotunda, baby born May 2008
Christmas Eve Boys
Surrogacy Centre India (Phoenix Hospitals)
Our Journey to Indian Surrogacy
Surrogacy India
Looking for Baby...
Steve and Steve's Big Adventure
It’s a Butler Life
Quiver-full of love
Our Surrogate Story
Maternidad subrogada en India (Spanish)
Delhi IVF Fertility Research Center
Surrogacy in India
Surrogacy India
..Un bébé en inde.. (French)