Can I Be a Surrogate After Tubal Ligation?

Surrogacy has emerged as a viable option for individuals or couples who cannot conceive a child naturally. It offers a ray of hope to those who dream of parenthood but face some challenges in conceiving or carrying a pregnancy.

A common question that comes up is whether surrogacy is possible for individuals who have undergone a tubal ligation, commonly referred to as having “tied tubes.” In this blog post, we will explore the medical possibilities and considerations surrounding surrogacy for individuals with tied tubes.

Understanding Tubal Ligation:

Tubal ligation is a surgical procedure that permanently closes or blocks the fallopian tubes, preventing eggs from reaching the uterus for fertilization. It is considered a very effective form of contraception, offering long-term reproductive control. However, for some individuals, the decision to undergo tubal ligation may change due to various life circumstances, including a desire for biological parenthood after the procedure.

The Role of Surrogacy:

Surrogacy is an arrangement in which a woman carries a pregnancy for another person or couple, commonly referred to as the intended parents. There are two main types of surrogacy: traditional surrogacy and gestational surrogacy.

  1. Traditional Surrogacy: In traditional surrogacy, the surrogate mother’s own eggs are fertilized with sperm, usually from a donor or the intended father. As tubal ligation blocks the fallopian tubes, it is not possible for an individual with tied tubes to conceive through traditional surrogacy.

  2. Gestational Surrogacy: Gestational surrogacy, on the other hand, involves the implantation of an embryo created using the intended genetic material of the parents or donated eggs and sperm. This procedure completely bypasses the fallopian tubes, making it a viable option for individuals with tied tubes.

As we have seen, gestational surrogacy involves the transfer of an embryo created through in vitro fertilization (IVF) into the uterus of a surrogate mother. So, for women with tied tubes, gestational surrogacy provides the opportunity to carry a pregnancy for someone else while not using their own genetic material. Since the eggs used in gestational surrogacy come from the intended mother or an egg donor, the surrogate’s tubal ligation does not affect the process.

Medical Possibilities and Considerations:

The medical feasibility of gestational surrogacy for individuals with tied tubes depends on various factors, including the health and viability of the intended eggs and sperm of the parents. Here are some important considerations:

  1. Egg Retrieval and In Vitro Fertilization (IVF): For gestational surrogacy, the intended mother or an egg donor may undergo controlled ovarian stimulation to produce multiple eggs. These eggs are retrieved and fertilized with the intended father’s sperm or donor sperm through IVF. The resulting embryos are carefully screened for genetic abnormalities before being transferred into the surrogate’s uterus.

  2. Embryo Transfer: Embryos are transferred to the surrogate’s uterus during a carefully timed procedure that maximizes the chances of successful implantation. The surrogate mother’s uterus must be healthy and receptive to support the growth of the embryo.

  3. Legal and Ethical Considerations: It is very important to navigate the legal and ethical aspects of surrogacy, ensuring that all parties involved are protected and their rights are respected. Consulting legal experts and seeking appropriate counsel throughout the process is highly recommended.


Surrogacy provides a hopeful path to parenthood for individuals who have undergone tubal ligation, or “tied tubes.” While traditional surrogacy may not work in such cases, gestational surrogacy offers a good solution. Through advances in assisted reproductive technologies such as IVF, individuals with tied tubes can still have a biological child by using their own or donated genetic material. It is important to note that the medical feasibility of surrogacy is subject to individual circumstances and consultation with medical professionals is essential to understand a person’s specific options and chances of success.

In Patriot Conceptions we can provide everything medical processes for a woman with tubal ligation to become a gestational surrogate from selection and preparation to pregnancy and monitoring.

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