However, the closeness of the family relationship can lead to other areas of difficulty. It is important to carefully evaluate the situation and to consider the following issues before proceeding. While the surrogate may not want to realize a profit, accumulated expenses can be substantial and place a financial burden on her family. If the surrogate is employed, securing a pregnancy disability policy may provide coverage for lost wages in case of a prolonged absence from work. However, an experienced mental health professional will be able to provide an independent assessment and help the surrogate take a careful look at whether this is an appropriate choice for her and her family.
Most evaluations involve an oral interview as well as written psychological testing.
Factors that will be considered include the surrogate's motivation, her concerns regarding medical procedures, her ability to separate emotionally from the child post-birth, moral and religious attitudes regarding surrogacy, support from family and friends, comprehension and acceptance of medical risks, and emotional maturity. A referral to an experienced mental health professional can be obtained through Resolve, OPTS or your treating physician. Family members may prefer to keep their dealings on an informal level, but it must be remembered that surrogacy involves an important legal transaction. The surrogate is placing herself at risk both physically and financially. While she may want to waive her right to independent counsel in order to avoid legal fees, her attorney will serve several crucial functions.