There is a story we tell ourselves about surrogacy. Something like ..a kind, generous woman offers her body as a vessel to help a loving couple who cannot have children on their own. It is a gift. An act of pure altruism. A beautiful miracle made possible by modern medicine. Everyone wins. The couple gets their baby. The surrogate feels fulfilled. Love conquers all. This is the story the surrogacy industry wants you to believe. It is also a lie.
The uncomfortable truth is that surrogacy is not about gifts,miracles or altruism. It is about money. It is about wealthy people renting the bodies of poor women to carry their children. It is about the commodification of women's reproductive capacity. It is about exploitation dressed up in the language of choice,empowerment and generosity. And until we stop pretending otherwise,we are complicit in a system that treats poor women's bodies as disposable vessels for the wealthy.
What Surrogacy Really Means
Surrogacy is a transaction. A wealthy individual or couple pays a woman to carry a pregnancy to term and surrender the child at birth. In exchange for her nine months of pregnancy,her physical sacrifices,her medical risks,her emotional labor, and ultimately her baby, she receives money. Sometimes it is a substantial amount. Often it is not. But it is always a transaction. It is always a rental. And the person renting is almost always wealthier and more privileged than the person being rented.
This is not a relationship between equals. It is not a gift freely given. It is a contract. And like any contract, it is shaped by the power dynamics between the parties involved. When a wealthy couple from the Global North hires a poor woman from the Global South, or a woman from a marginalized community in their own country, the power imbalance is staggering. The couple has resources,lawyers and options. The surrogate has a financial need so desperate that she is willing to rent out her own body for nine months.
This is not choice in any meaningful sense. When a woman is drowning in debt, living in poverty, or trying to feed her children, the "choice" to become a surrogate is not freedom. It is survival. And survival is not consent.
Who Are the Surrogates?
Let us look at who actually becomes a surrogate. The industry likes to talk about empowered women making informed choices. But the reality is far grimmer. In the United States, the typical surrogate is a woman in her twenties or thirties. She is often struggling financially. She may already have children of her own and is desperate to provide for them. A significant number of surrogates are military wives, low-income women, and women of color. They are targeted by agencies. They are recruited through Facebook groups, flyers, and ads that promise life-changing money. They are told this is an opportunity to help a family while helping themselves.
In countries like India,Ukraine,and Mexico, the picture is even more stark. Women from impoverished villages are recruited to carry children for wealthy foreigners. They are promised payment that, while small in Western terms, is life-changing in their communities. They are housed in clinics, monitored constantly, and often kept isolated from their families during the pregnancy. They are told they are doing a good deed. They are told they are helping. They are told they should be grateful for the opportunity.
But are they grateful? Many are. But gratitude does not equal freedom. A woman can be grateful for the money that saves her children from hunger and still be exploited. A woman can believe she is doing something good and still be part of a system that treats her body as a rental property. The industry relies on this. It needs women to believe they are choosing freely. It needs them to feel good about the transaction. Because if women ever stopped believing the story, the whole system would collapse.
The Physical Reality of Surrogacy
The physical reality of surrogacy is rarely discussed in the warm, fuzzy narratives. But.. it is brutal. A surrogate must undergo months of hormone injections to prepare her body for implantation. These injections cause side effects: mood swings,depression, weight gain, hot flashes, and physical pain. Then there is the implantation process itself, which is invasive and often painful. If the implantation fails, the cycle begins again. If it succeeds, she carries a pregnancy that is not hers. A pregnancy that will end with her handing over the child she carried for nine months.
Pregnancy is not easy. It is physically demanding. It carries real health risks, including preeclampsia,gestational diabetes and life-threatening complications during labor. The surrogate must adjust her life around the pregnancy. She cannot work certain jobs. She cannot take certain medications. She must be careful about what she eats,how she moves and how she lives. Her body is no longer her own. It is an incubator. A vessel. A rental property.
And after the birth? She recovers from the physical trauma while the intended parents take the baby home. She may experience postpartum depression. She may struggle with the emotional pain of carrying a child for nine months and then letting it go. She may feel a sense of loss that no amount of money can compensate for. She may be told she should be happy. She helped a family. She did something good. But grief does not care about gratitude. And loss is not erased by a paycheck.
The industry has a solution for this, of course. Agencies often provide counseling. But the counseling is not designed to help the surrogate process her feelings. It is designed to make her feel better about the transaction. It is designed to keep her quiet, to keep her from speaking out, to keep her from asking hard questions about what she has just done.
The Global Inequality of Surrogacy
One of the most disturbing aspects of surrogacy is the global inequality it exploits. Wealthy couples from the West travel to developing countries to find surrogates. They go to India. To Mexico. To Ukraine. To Thailand. They go to countries where women are poor, where the legal system is weak, where they can get a bargain. They pay a fraction of what they would pay in their home countries. And they do so knowing that the women carrying their children will never be able to afford the same services. They do so knowing that the system is stacked in their favor. They do so knowing that if something goes wrong,if the surrogate has complications,if the baby is born with a disability,they can walk away. The surrogate cannot.
There have been cases where intended parents abandoned the contract because the child was not what they expected. There have been cases where surrogates were left with children they could not afford to raise. There have been cases where the surrogate died from complications, and the intended parents simply found another surrogate. These are not isolated incidents. They are the logical outcomes of a system that treats women's bodies as commodities. And yet we call this a "miracle." We call it "life-giving." We call it "empowerment." We use the language of love and generosity to cover up the reality of exploitation. We do this because it feels better than admitting the truth. We do this because we want the product without the guilt. We do this because we have learned to rationalize anything, as long as it serves our desires.
The Commodification of Children
Surrogacy does not just commodify women's bodies. It commodifies children. In a surrogacy arrangement, the child is the product. The intended parents pay for a baby. They choose the surrogate based on her health,her ethnicity,her age. They may even choose the egg or sperm donor. They are,in effect, designing their perfect child. And the surrogate is simply the factory that produces it. The child becomes an object of a transaction. A possession. A product of a contract.
What does this teach us about children, class? What does it teach us about the value of human life? When a child can be purchased,what happens to the idea that every child is a gift,a miracle, a human being with inherent worth? The industry does not want us to think about these questions. It wants us to focus on the happy ending. The couple with the baby. The family that was "made whole." The miracle of modern medicine. It does not want us to ask what happens to the surrogate. It does not want us to ask what happens to the child. It does not want us to think about the deeper implications of treating children as commodities.
We have already seen what happens when children become commodities. We have seen the adoption industry. We have seen the trafficking of children. We have seen the baby market. Surrogacy is another chapter in this story. It is the latest version of an old system: wealthy people buying children from poor people, using the language of love and generosity to cover up the transaction. And we are so desperate for the happy ending that we refuse to see the harm.
The History of Reproductive Exploitation
Surrogacy did not appear out of nowhere. It is part of a long history of reproductive exploitation. Enslaved Black women were forced to bear children for their enslavers. Indigenous women were sterilized without their consent. Poor women were used as experimental subjects. Women of color have always been seen as bodies to be used for reproduction. Surrogacy is the modern version of this history.
The industry cannot be separated from this history. It cannot be understood without it. When a wealthy white couple hires a poor woman of color to carry their child, they are repeating a pattern that has existed for centuries. They are participating in a system that treats the bodies of marginalized women as resources to be used by the privileged. They may not see it that way. They may genuinely believe they are doing something good. But intentions do not erase structural reality. And the structural reality is that surrogacy is the newest form of reproductive exploitation.
The Feminist Defense of Surrogacy
Some feminists defend surrogacy. They say it is about choice, autonomy and empowerment. They say that women should be free to make their own decisions about their bodies. They say that opposing surrogacy is paternalistic, that it denies women agency, that it tells women they are too weak to make their own choices.
I understand this argument. I understand the importance of bodily autonomy. I understand that women have been denied the right to control their own bodies for centuries. But I also understand that autonomy is not the same as freedom. And I understand that choice is not the same as liberation.
When a woman chooses to become a surrogate because she is drowning in debt, is that autonomy? When she chooses to rent her womb because she cannot afford to feed her children, is that liberation? When she chooses to undergo nine months of physical pain and emotional sacrifice because it is the only way to survive, is that empowerment? No. It is survival. And survival is not freedom.
The commom defense on this topic is always.. “What about gay couples who can’t have children naturally? What about infertile couples who have tried everything? What about people with disabilities who want to be parents?” How dare you tell them they can’t have a family? How dare you stand in the way of their happiness? How dare you deny them the chance to be parents?I am not saying that gay couples,infertile couples, or people with disabilities do not deserve to be parents. I am not saying their desire for a child is invalid. I am not saying their pain is not real. And am definitely not saying they are bad people for wanting a family. I am saying that the structure of surrogacy as it currently exists, as it has always existed is built on the exploitation of poor women’s bodies. And that is a structural reality, not a personal attack on anyone’s desire to parent.
You cannot separate the desire from the system that fulfills it. You cannot separate the happy ending from the transaction that made it possible. You cannot separate the loving gay couple from the poor woman who carried their child because she needed the money. These things are connected. They are the same story,pretending otherwise is willful ignorance. If we truly cared about gay couples, infertile couples, and people with disabilities, we would fight for a world where they could become parents without exploiting poor women. We would fight for adoption reform. We would fight for social programs that support families. We would fight for a system that prioritizes the well-being of all children and families, not just those who can afford to buy a baby. But we do not do this. Instead, we celebrate the couple who got their baby and ignore the woman who lost hers.
“What about women who choose to be surrogates? What about women who love being pregnant? What about women who do it twice, three times, because they genuinely enjoy it? How dare you say they are exploited? How dare you take away their agency? How dare you call them victims when they say they are not?"
I'll say this: I am not denying that some women have positive experiences with surrogacy. I am not denying that some women genuinely love being pregnant. I am not denying that some women walk away feeling fulfilled,empowered, and proud of what they did. I believe these women exist.
But here is what I also believe: their experiences are being used to defend a system that exploits the vast majority of surrogates. Their stories are being weaponized to erase the reality of the industry. Their "choices" are being held up as proof that surrogacy is not exploitation as if their personal preferences somehow invalidate the structural reality of the system.
And here is something else I believe: when a woman says she loves being pregnant so much that she will do it for free or for money, repeatedly, for someone else, that is not altruism. That is a kink.
A kink is a personal preference, a sexual or emotional fascination, a desire that goes beyond the ordinary. And there is nothing wrong with having a kink. Some people love being pregnant. Some people love the feeling of carrying a child. Some people love the attention, the physical sensations, the emotional connection. That is fine. That is personal. That is none of my business.
But when a woman's kink becomes the justification for an entire industry,an industry that exploits poor women, commodifies children and reinforces global inequality,we have a problem. When a woman's personal preference is held up as proof that surrogacy is ethical, we have a problem. When a woman's "choice" is used to silence the voices of women who were exploited, traumatized, and discarded, we have a problem.
The surrogacy industry does not rely on women who love being pregnant. It relies on women who need money. It relies on women who are desperate. It relies on women who have no other options. The industry does not target women who are financially secure, emotionally fulfilled, and looking for a hobby. It targets women who are drowning in debt, struggling to feed their children, and vulnerable to exploitation. The industry knows this. It relies on this. And it uses the stories of women who love being pregnant to cover up the reality of what it actually does.
So when someone tells me about people who loved being pregnant, I believe them. But I also need them to understand that they are àn exception. And exceptions do not disprove the rule. They prove the rule. When you have a system that operates on the principle of renting women's bodies, it does not matter that some women volunteer willingly. What matters is the structure. What matters is the inequality. What matters is that the industry relies on desperation, not joy. It relies on poverty, not preference. It relies on women who have no other options, not women who have a kink. And the surrogacy industry does not exist because of gay couples,infertile couples, or people with disabilities. It exists because there is a market for children. It exists because there are wealthy people willing to pay for bodies to carry them. It exists because there are poor women desperate enough to rent their wombs. The gay couples, the infertile couples, the people with disabilities,they are the consumers. They are the buyers. They are the demand. And the poor women are the supply. That is the structure. That is the system.If we are serious about ending exploitation, we need to ask harder questions. Questions that go beyond the individual stories and defenses. Questions that get to the heart of the system itself. Why are we so desperate for "biological" children that we are willing to exploit poor women's bodies to get them? Why are we so attached to the idea of genetic parenthood that we are willing to commodify children? Why are we so focused on the happiness of the couple that we ignore the suffering of the surrogate? Why are we so invested in the "gift of life" narrative that we refuse to see the transaction beneath it?
Why is surrogacy the only form of "work" where a woman's body is the product, and the product is a child she must give away? Why is surrogacy the only form of "choice" that requires a woman to undergo nine months of physical risk, emotional sacrifice, and permanent bodily change? Why is surrogacy the only form of "empowerment" that leaves women with postpartum depression, grief, and loss? Why do we celebrate the couple who gets a baby and ignore the woman who loses one? Why do we call a transaction a gift and a rental a choice? Why do we use the language of love and generosity to cover up the reality of exploitation? If surrogacy is not exploitation, why is it always the poor women renting their wombs to the wealthy? Think about it for a minute. Why are surrogates almost always poorer than the intended parents? Why are they almost always from marginalized communities? Why are they almost always desperate for money? Why is the industry thriving in countries with high poverty rates and weak legal protections? Why is it that the wealthy are buying and the poor are selling?
If surrogacy were truly a gift, an act of generosity, a beautiful act of love, we would see wealthy women carrying children for poor couples. We would see women with resources volunteering to help those who cannot afford to pay. We would see surrogacy as a one-way flow of generosity from the privileged to the marginalized. We would see the powerful serving the powerless.
But we do not see this. We never see this. What we see is the opposite. We see the poor carrying for the wealthy. We see the marginalized serving the privileged. We see the desperate renting their bodies to those who can afford to pay. We see a system that flows in one direction only. And that direction is power.
Surrogacy is exploitation. It is the renting of poor women's wombs by the wealthy. It is the commodification of women's bodies and children's lives. It is a system that flows in one direction only: from the powerless to the powerful, from the poor to the wealthy, from the marginalized to the privileged. And no amount of "choice," "empowerment," or "happy endings" changes that.
The defense that surrogacy is about gay couples, infertile couples, and people with disabilities does not change the reality of exploitation. It only shows that we are willing to sacrifice poor women's bodies for the happiness of the privileged. It only shows that we are willing to call a transaction a gift and a rental a choice. It only shows that we are willing to use the language of love and generosity to cover up the reality of exploitation. The defense that surrogacy is about women who choose it, who love being pregnant, who walk away feeling fulfilled, does not change the reality of exploitation. It only shows that we are willing to use exceptions as shields to protect a system that harms the majority. It only shows that we are willing to ignore the structural reality of the industry because it makes us uncomfortable. It only shows that we are willing to pretend that a woman's personal preference somehow makes a system of exploitation ethical. If we truly care about families, if we truly care about children, if we truly care about women, we need to fight for something different. We need to fight for a world where no woman has to rent her body to survive. We need to fight for a world where children are not commodities. We need to fight for a world where family is not something you buy.Until we get there, surrogacy will remain what it has always been: the renting of poor women's wombs by the wealthy. And no amount of "but what about gay couples?" or "but my someone I know loved it" will change that.
The Alternative
If surrogacy is exploitation, what is the alternative?
First, we must stop pretending that surrogacy is a gift. We must call it what it is: a transaction. A rental of a woman's body. A system that exploits poverty and desperation. We must stop using the language of love and generosity to cover up the reality of exploitation.
Second, we must address the conditions that push women into surrogacy. We must fight poverty. We must provide economic opportunities. We must ensure that women have real choices, not just the choice between survival and exploitation.(This is not easy). But it is necessary.
Third, we must consider alternatives to surrogacy. Adoption is one option, but it is not without its own problems. We need to create systems that prioritize the well-being of children and families without commodifying women's bodies. We need to invest in social programs that support families. We need to question our obsession with biological parenthood. We need to ask ourselves why we are so desperate for a "biological" child that we are willing to exploit another woman's body to get it.
Finally, we must listen to the voices of former surrogates. Many of them have spoken out about their experiences. They have described the physical pain, the emotional trauma, the exploitation. They have described feeling used, discarded, and forgotten. They have described the difficulty of bonding with the child and then letting it go. They have described the guilt, the shame, the grief. We need to listen to them. We need to believe them. And we need to act on what they tell us.
Surrogacy is not a gift. It is not a miracle. It is not an act of generosity. It is the renting of poor women's wombs by wealthy people who can afford to pay. It is the commodification of women's bodies and children's lives. It is exploitation dressed up in the language of love.
The industry wants you to believe otherwise. It wants you to believe in the happy endings. It wants you to focus on the couple with the baby, not on the woman who carried it. It wants you to feel good about the transaction, not to ask hard questions about who really benefits. We need to stop. We need to name what surrogacy really is. And we need to build a world where no woman is so desperate that she has to rent out her own body to survive. Until then, the "gift of life" will remain what it has always been: a lie.
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