Introduction

CANADA: PLURAL, ACCESSIBLE AND EFFECTIVE

Surrogacy is permitted throughout its territory, except in the province of Quebec, provided that the surrogate is offered on an altruistic basis, meaning she is not allowed to profit from offering her service. She may only receive financial compensation that reimburses the time and expenses required to support the pregnancy. Access is available to all family models, including single men and women, same-sex and heterosexual couples, and there is no requirement to have a genetic connection with the embryo to be implanted, making it an ideal destination for all infertile people.

Gestational Surrogacy

Surrogacy is legal in Canada only when the Gestational Carrier receives compensation for her effort, without her being able to profit by signing a commercial surrogacy contract.

Under the Assisted Human Reproduction Act passed in 2004, the surrogate may only be reimbursed for pregnancy-related expenses. While commercial surrogacy is common in the U.S., a surrogate in Canada cannot receive any salary or fee to carry a pregnancy to term. This form of surrogacy is called “altruistic surrogacy.”

The Assisted Human Reproduction Act (the “AHRA”) prohibits various activities related to surrogacy.

Surrogacy itself is not prohibited, but payment of consideration or offering payment to a surrogate is a prohibited act. In accordance with Section 12 (which has not yet been proclaimed), all reasonable expenses such as out-of-pocket expenses will be reimbursable to her. At some point, the Federal Government will proclaim regulations to this section that may limit or regulate the types of expenses that can be reimbursed otherwise, but until that date, all expenses can be considered as such, provided they are reasonable and related to the surrogacy.

In the absence of a legal statute clarifying filiation, there is always the possibility that a surrogate may claim parental rights which may include custody of or access to the child. Many intended parents draw up agreements in order to make clear the intentions of each party. Most clinics in both Canada and the United States require that surrogacy contracts be signed before embryo transfer. In the United States, case law has placed great emphasis on the enforcement of the pre-conception intention of all parties, as evidenced in an agreement.

Thanks to the hard work of a few individuals, surrogacy for same-sex couples in Ontario has become commonplace.

Lesbian couples often turn to known sperm donation to conceive their children. All parental rights must be negotiated and documented in advance. Lesbian couples should consult with an attorney in order to maximize the intent possibilities of both parties regarding the paternity and custody of the future child.

“Spousal donations” are less common, but sometimes one of the partners will carry a child that is genetically linked to her partner. IVF is necessary to achieve this result. Many IVF clinics treat the situation as an egg donation or as a surrogacy, but both approaches are not appropriate. If you are considering this procedure, make sure that medical consents are clear and precise. In the event of a relationship breakdown and custody dispute, an inappropriate medical consent can be used later in court as evidence of intent.

In Ontario, the post-birth process for LGBT surrogacy clients is exactly the same as for the heterosexual community. As birth registration is governed at the provincial level, an attorney should be consulted to review the details of the agreement.

Action Protocols

Action Protocols in Canada. Approximate amounts, including one embryo transfer.

1) Canada IVF + Own eggs + Transfer to Canadian SM + Birth in Toronto.

This alternative is for all family models who wish to perform IVF with own gametes + embryo transfer in a Canadian clinic and delivery in Toronto.

2) Canada IVF + Egg donor + Transfer to Canadian SM + Birth in Toronto.

This alternative is for all family models who wish to perform IVF with egg donation + embryo transfer in a Canadian clinic and delivery in Toronto.

3) Canada Frozen Embryos + transfer to Canadian SM + Birth in Toronto.-

This alternative is for all family models who already have their embryos at their local clinic and wish to ship them to Canada for embryo transfer in a Canadian clinic and delivery in Toronto.

4) Canada Embryo Adoption + transfer to Canadian SM + Birth in Toronto.-

This alternative is for all family models who cannot conceive embryos with their own genetic load. They are offered an Embryo Adoption program, being able to have genetic material donated by other couples (anonymous), for embryo transfer in a Canadian clinic and delivery in Toronto. The conceived child will not have the DNA of the contracting parents.

Reference Clinic

Toronto Institute for Reproductive Medicine

Repromed has over 20 years in the field of reproductive medicine.

www.repromed.ca

Anova Fertility & Reproductive Health

Toronto-based fertility clinic offering personalized care in assisted reproduction.

www.anovafertility.com

INITIAL CONSULTATION

Not sure? Our frequently asked questions section can help you.

Certified Medical Travel Professional
American Society Reproductive Medicine
European Society of Human Reproduction and Embryology
Association of Reproductive Managers