If you’ve had a tubal ligation but are now considering the incredibly generous act of becoming a surrogate, you might worry that your past choice has closed that door. We have great news for you: it absolutely hasn’t. You can still help build a family through surrogacy.
Making the decision to have your tubes tied was likely a clear choice for your own family planning. Now, you can be just as confident in exploring this new path. In this guide, we’ll explain why your tubal ligation doesn’t disqualify you and walk you through everything you need to know about the process.
Key Takeaways
- Tubal Ligation Isn’t a Barrier: A previous tubal ligation does not affect your uterine health and does not disqualify you from becoming a gestational surrogate.
- Gestational Surrogacy is the Path: The process will involve gestational surrogacy, where an embryo is transferred to your uterus via IVF. You will have no genetic connection to the baby.
- Uterine Health is What Matters: Your ability to become a surrogate depends on the health of your uterus and your overall physical condition, not on the status of your fallopian tubes.
- A Thorough Screening is Required: All surrogate candidates must pass a comprehensive medical and psychological evaluation to ensure a safe and successful journey for everyone.
- A Legal Contract is Essential for Protection: A detailed legal agreement is critical to protect the rights and responsibilities of both you and the intended parents.
Gestational vs. Traditional Surrogacy: Why the Difference Matters
It’s crucial to understand that there are two types of surrogacy. Your tubal ligation makes you a perfect candidate for one but rules out the other.

Gestational Surrogacy
This is the modern and most common form of surrogacy. An embryo is created in a lab using an egg from the intended mother (or an egg donor) and sperm from the intended father (or a sperm donor). This embryo is then transferred directly into your uterus to grow and develop. As the surrogate, you share no genetic link to the baby. Because this process bypasses the fallopian tubes entirely and does not use your eggs, your tubal ligation is completely irrelevant. Your healthy uterus is what counts.
In fact, some intended parents may even see it as a benefit, as it provides an extra layer of assurance that you won’t conceive with your own eggs during the process.
Traditional Surrogacy
In this much less common method, the surrogate’s own egg is fertilized with sperm from the intended father via artificial insemination. A tubal ligation prevents this from being possible, as it blocks your egg from traveling to the uterus for fertilization.
This distinction is precisely why a tubal ligation doesn’t stop you from becoming a surrogate—it simply clarifies your path forward is with gestational surrogacy.
What Does the Medical Evaluation Actually Involve?

Before being matched with intended parents, you will undergo a comprehensive medical screening to ensure you are fully prepared for a healthy pregnancy. This typically includes:
- Review of Pregnancy History: Agencies require surrogates to have had at least one successful, full-term pregnancy with no major complications. This demonstrates your proven ability to carry a child.
- Psychological Evaluation: A consultation with a therapist to ensure you are emotionally ready for surrogacy and have a strong support system.
- Overall Physical Health: Blood work, infectious disease screening, and a general physical exam to confirm you are in excellent health for pregnancy.
- Uterine Health Check: A detailed ultrasound or hysteroscopy to confirm your uterine lining is healthy and free of issues that could interfere with embryo implantation.
The Importance of the Legal Contract
A legally binding surrogacy agreement is non-negotiable and exists to protect everyone involved. This contract is drafted by attorneys who specialize in reproductive law and clearly outlines every detail of the journey, including:
- Parental Rights: Establishing that the intended parents are the legal parents of the child from the moment of conception.
- Compensation and Reimbursement: A detailed breakdown of payments, from base compensation to reimbursements for medical bills, travel, and maternity clothes.
- Medical Decisions: Agreements on sensitive topics such as selective reduction or termination if medically necessary.
- Behavioral Expectations: Guidelines regarding diet, travel, and lifestyle during pregnancy.
Your Journey to Helping a Family Begins Here
Having a tubal ligation doesn’t end your potential to give the ultimate gift to a family who needs you. It simply means your path is through gestational surrogacy—a journey where your healthy uterus and generous spirit are what truly matter.
At Ivy Surrogacy, we specialize in guiding amazing women like you through this rewarding process. We are looking for compassionate, reliable, and healthy individuals who are ready to make a profound difference in the world.
👉 Take the first step today—complete our quick initial application to find out if you qualify to become a surrogate with Ivy Surrogacy.
Frequently Asked Questions (FAQ)
1. Do I need to get my tubal ligation reversed?
Absolutely not. For gestational surrogacy, the embryo is transferred directly into your uterus, so your fallopian tubes are not used. A reversal surgery would be unnecessary.
2. Does my age matter for becoming a surrogate?
Yes. Most agencies, including Ivy Surrogacy, require surrogates to be between 21 and 38. This helps ensure you are at an optimal stage of health for pregnancy.
3. What costs am I responsible for as a surrogate?
You are responsible for zero surrogacy-related costs. All expenses—including medical screenings, IVF procedures, obstetric care, insurance, legal fees, and related travel—are covered by the intended parents. You also receive generous compensation.
4. Can I still work while I’m a surrogate?
In most cases, yes. Many surrogates continue to work. If your job is physically demanding, your doctor may recommend modified duties or bed rest, and lost wages are typically covered by the intended parents.
5. Do I need previous pregnancy experience if I had a tubal ligation?
Yes. You must have at least one prior full-term pregnancy to qualify, regardless of your tubal ligation status. This demonstrates your proven ability to carry a child.
6. Can having a tubal ligation increase risks during surrogacy?
No. A tubal ligation only affects your fallopian tubes, not your uterus. As long as your uterus is healthy, you are not at increased risk.
7. How long after a tubal ligation can I apply to be a surrogate?
As long as you are fully recovered and meet general health and pregnancy history requirements, you can apply to be a surrogate without any waiting period.
