Intended Parents looking for a large family consider reducing costs by having their surrogate carry twins. The hope is that a twins pregnancy is a sort of “Buy one; get one free” deal. But a twins surrogacy has serious medical and financial costs.

Twins have a high probability of premature birth (about 65% of twins pregnancy ends prematurely.) Premature births run a higher risk of physical and cognitive developmental problems later in life. For this reason the ASRM recommends that embryo transfers use only one embryo. Also many surrogates will refuse to transfer multiple embryos to intentionally have twins (although would agree to carry twins if they arrive naturally) because of the difficulty and potential risks to their own health.


Premature delivery often includes additional medical care, insurance requirements and other costs for possible medical contingencies due to complications during the delivery. The Guide has a breakdown of the anticipated costs of a twins pregnancy. https://www.sensiblesurrogacy.com/surrogacy-costs/#surrogate-cost-twins


Many people try to manage their surrogacy journey and arrange the timing to fit into their normal lives. My experience is that it almost never works out as you intend. Babies have a mind of their own, and they will arrive on their own schedule. The more plans you make, the more disrupted you're going to find yourself. Be prepared to be accommodating (from now, and until they leave for college).