Can I Be a Surrogate? A Self-Check for Women in Canada

A friendly checklist to see whether you might qualify to be a surrogate in Canada, covering age, health, pregnancy history, lifestyle and support.

By Robyn Price - Originally published October 29, 2026

If you are thinking about becoming a surrogate, I want to start with this: thank you. Wanting to carry a baby for a family who cannot is one of the most generous things a person can do.

Here is a friendly self-check to help you see whether you might be a fit. It is not a pass or fail test. Final decisions are made after medical and psychological screening, so if you are unsure about anything, please ask.

Age

  • Are you at least 21? That is the legal minimum in Canada.
  • Most agencies and clinics prefer candidates up to about 40 to 45, and older candidates receive extra medical review.

Pregnancy history

  • Have you had at least one healthy pregnancy and birth? This is the most common requirement.
  • Without a prior pregnancy, some candidates can still be considered with extra review.
  • Have you had a C-section? Not automatically a no. It is reviewed case by case.

Health

  • Are you generally healthy, with a body weight within the range a fertility clinic requires?
  • Do you have conditions that are managed or under control?
  • Please be honest with us. Many things that sound disqualifying are reviewed case by case.

Lifestyle

  • Do you smoke or vape? Smoking is not an automatic no at CSO, but it must stop during pregnancy. We ask about your willingness to quit.
  • Do you use recreational drugs? These are not compatible with surrogacy.

Health coverage

  • Do you have a provincial health card? Not having one is a flag we look at, but it is not an automatic disqualifier.

Life circumstances

  • Is your life stable right now, with housing and a support network?
  • If you have a partner, are they supportive?
  • Can you commit to 12 to 18 months of appointments, medications and travel?

Your reasons

  • Are you doing this because you want to help a family?
  • Surrogates cannot be paid a fee in Canada. They are reimbursed for expenses.

What happens if you check most of these boxes

  1. Application to us
  2. Medical review and screening at a fertility clinic
  3. Psychological evaluation with a counsellor
  4. Matching with intended parents
  5. Independent legal advice and a surrogacy agreement
  6. Embryo transfer and pregnancy
  7. Birth and aftercare, including emotional support

You will have a support person on our team at every step.

If you are not sure

Come and talk to us. It costs you nothing to ask, and we would rather have a conversation than have you rule yourself out.

Book a call at calendly.com/cso-robyn

From hope to heartbeat to home.