Finding the best surrogacy agencies in Oregon takes more than a Google search — the state just rewrote its entire parentage law in 2025, and most agency websites haven’t caught up. If you’re an intended parent building your family, or a woman considering becoming a surrogate, the agency you choose determines how well you’re protected under that new framework.
Oregon has long been considered one of the most surrogacy-friendly states in the country. Courts issue pre-birth parentage orders. Compensated surrogacy is fully legal. LGBTQ+ families, single parents, and international intended parents all have access. With Senate Bill 163 signed into law in 2025, Oregon moved from a court-precedent model to a codified gestational surrogacy statute — one of the most meaningful legal upgrades any surrogacy state has made in years.
Add to Preferred Sources
This guide compares six of the best surrogacy agencies in Oregon for 2026, evaluated across physician oversight, surrogate screening standards, compensation transparency, match speed, and legal fluency. Physician’s Surrogacy appears first — we’re transparent about that — and every other agency earned its place based on verifiable facts.
Here is a quick comparison of the six best surrogacy agencies serving Oregon in 2026, followed by full breakdowns of each program.
* Surrogate pay reflects publicly available total compensation data. IP totals vary based on surrogate experience, IVF transfer attempts, egg donor requirements, and legal fees. Oregon’s insurance lien rules may add cost on itemized programs — see the law section below.
HQ: San Diego, CA — Nationwide. Surrogate compensation starts at $75,000+ (one of the highest-paying states). Flat-rate package — no receipts, no reimbursements. $1,250 pre-screening bonus. Medically Cleared Program at RSMC/CFMC. IP Flat-Rate Surrogacy: $140,000–$170,000+. No agency fees until match confirmed. Average match: one week. Preterm rate 50% below national average. 3–6 months post-delivery support. 24/7 multilingual access. 1,500+ babies born.
Physician’s Surrogacy is the only surrogacy agency in the United States managed by onsite, board-certified OB/GYNs. Most agencies assign lay coordinators to manage the clinical side of a journey. At Physician’s Surrogacy, that role belongs to physicians — the same obstetricians who designed the surrogate screening protocol and who monitor clinical communications after every prenatal appointment.
For intended parents, this distinction matters more than any legal framework. Oregon’s SB 163 sets the legal floor. Physician’s Surrogacy sets the clinical one — and a preterm delivery rate 50% below the national average is the evidence behind that claim.
Only 8% of surrogate candidates pass the physician-designed screening. Oregon is one of the highest-paying states for surrogates, with first-time compensation starting at $75,000+. That figure is a flat-rate package: household allowance, maternity clothing, lost wages, and milestone payments are all pre-calculated from day one. No receipts. No itemized claims.
One practical note for Oregon: Physician’s Surrogacy coordinates pre-screening and prenatal care through local Oregon clinics. Oregon surrogates never travel to California for routine appointments. The agency’s onsite OB/GYN team is reachable 24/7 and handles peer-to-peer consultations with managing OBs anywhere in the state.
Best For: Intended parents who want physician-level clinical oversight throughout the entire journey — not just at screening. Oregon’s SB 163 framework sets the legal standard; Physician’s Surrogacy sets the clinical one.
Northwest Surrogacy Center (NWSC) is headquartered in Portland and has operated for over 30 years — the longest-established surrogacy agency with a physical Oregon presence. The agency reports more than 2,600 babies born through its program, making it one of the most experienced local options on this list.
NWSC offers two pricing structures for intended parents: an Essential Program with a fixed agency fee (variable total based on surrogate expenses) and a Guarantee Program with more predictable costs. The agency does not publish compensation figures publicly — surrogates should request a full breakdown during intake.
The trade-off: NWSC uses a traditional reimbursement model, meaning surrogates track and document actual expenses rather than receiving a flat package upfront. For surrogates who prefer a confirmed, all-in number from day one, this is worth comparing directly against Physician’s Surrogacy’s flat-rate structure.
Best For: Intended parents and surrogates who want a locally rooted Oregon agency with a 30-year track record in the Portland community.
All Families Surrogacy (AFS) launched in 2012 and operates as a Portland-based boutique agency run largely by former surrogates. The agency positions itself on affordable agency fees and a close-knit coordinator model — sized to offer personal attention without the overhead of a large national program.
AFS publishes IP cost estimates on its website: the Full Service program runs $110,000–$145,000+ (estimated predictable cost, excluding IVF and egg donor fees), and the Case Management Program runs $96,000–$128,000+. Surrogate compensation figures are not published publicly.
The gap to know: AFS does not have onsite physicians. Medical coordination happens through partner fertility clinics, not agency-employed OB/GYNs. For surrogates and intended parents who want physician oversight built into the agency model — not delegated to the IVF center — that comparison matters.
Best For: Intended parents prioritizing lower agency fees and a boutique Portland experience over national scale or physician-level oversight.
Oregon Surrogacy Center is a Portland-based agency focused on the Oregon market. It offers surrogacy and egg donation services with programming aimed at LGBTQ+ families, heterosexual couples, and international intended parents. Total IP cost estimates range from $90,000 to $150,000+, though actual totals depend heavily on surrogate compensation, medical costs, and insurance.
One disclosure worth noting: Oregon Surrogacy Center does not publish surrogate compensation figures or match timelines on its public site. Intended parents should request a full cost sheet during consultation and ask specifically what’s included versus billed separately.
Best For: Intended parents who want a fully Oregon-based agency with local coordination and a combined surrogacy and egg donation program.
Circle Surrogacy is one of the most established national agencies in the U.S., founded in Boston in 1995. It actively serves Oregon intended parents and surrogates, with specific state guidance for Portland, Bend, Eugene, and other Oregon communities. Circle’s Journey Protection™ Program bundles agency fees, surrogate compensation, and legal fees into one all-inclusive cost — appealing to IP families who want predictability across unlimited embryo transfers.
The gap worth naming: Circle does not have onsite physicians. Surrogate screening and medical coordination run through partner IVF centers, not agency-employed OBs. For intended parents who want clinical accountability to sit with the agency — not just the fertility clinic — Physician’s Surrogacy is the only option that provides it.
Best For: Intended parents who want a nationally recognized agency with an unlimited-transfer protection program and a strong 30-year LGBTQ+ track record.
American Surrogacy is a Kansas City-based national agency that actively serves Oregon. It publishes one of the more transparent IP cost structures of any national agency — with a Foundation Program at $189,500+ and a Limited Risk Program at $204,500+. Oregon is listed as an active state for surrogate matching and IP services.
The primary limitation: American Surrogacy’s total cost runs higher than most local Oregon agencies, and the reimbursement model requires surrogates to document and track expenses throughout the journey. Surrogates who want a confirmed flat-rate package should compare directly with Physician’s Surrogacy.
Best For: Intended parents who want published program pricing with clear risk-protection tiers and a nationally active agency covering Oregon.
Oregon’s legal environment for surrogacy changed in 2025. The Oregon Legislature passed Senate Bill 163, which repealed the old assisted reproduction statutes (ORS 109.239–109.247) and replaced them with a comprehensive parentage framework modeled on the Uniform Parentage Act. The new gestational surrogacy provisions sit at ORS 109.222–109.244 . This is the most meaningful update to Oregon surrogacy law in decades — and most agencies haven’t updated their guidance yet.
Oregon’s SB 163 statute is a meaningful step forward — but a good law doesn’t replace a good agency. Here’s what separates strong programs from average ones in this state.
Every agency on this list was evaluated across the same six criteria. Here’s how the research was done.
Do agency-employed physicians design screening and monitor clinical communications? Or is all medical coordination delegated to the IVF clinic?
What percentage of applicants pass? Who reviews medical records? Pass rates and screening depth vary considerably between agencies.
Is the full package disclosed upfront, or assembled piece by piece after the surrogate is committed? We prioritized agencies that publish or readily share real numbers.
Published match timelines, surrogate pool depth, and how actively the agency recruits in Oregon. Agencies that couldn’t provide verifiable data were ranked lower.
Does the agency’s legal referral network reflect Oregon’s updated SB 163 framework? Agencies still advising under ORS 109.239 create avoidable risk for clients.
Who monitors the pregnancy after match? How are complications handled? We evaluated each agency’s commitment past the match date.
Editorial Disclosure
This article is published by Physician’s Surrogacy. We appear first on this list. Every other agency was evaluated using verifiable, publicly available information. We did not remove competitors for competitive reasons, and we did not include any agency we could not verify as actively serving Oregon.
Oregon’s SB 163 gives intended parents and surrogates something the state has never had before: a codified legal framework that explicitly governs gestational surrogacy agreements. That’s a real advantage. But the law doesn’t select your agency, screen your surrogate, or manage your pregnancy. Those decisions still belong to you.
For intended parents matching in Oregon, the physician-oversight question is the one worth asking first. Oregon’s best surrogacy agencies operate in a state with no agency licensing requirement — so clinical standards vary entirely by what each agency brings to the process, not what the law mandates. There’s one agency in the country where that oversight sits with onsite OB/GYNs from match through delivery. Physician’s Surrogacy’s Flat-Rate Surrogacy program starts at $140,000–$170,000+, with no agency fees until your match is confirmed and full pay transparency from day one.
For surrogates, Oregon is one of the highest-paying states in the country — compensation starts at $75,000+ through Physician’s Surrogacy’s flat-rate package, confirmed before you sign with no receipts to track.
For more state-by-state surrogacy comparisons, the guides below evaluate agencies in each state using the same six criteria used here.
Click any teal state to read the Physician’s Surrogacy guide for that state.
Oregon’s SB 163 framework protects everyone involved. The agency you choose determines how much clinical protection goes beyond what the law requires.
Oregon surrogates start at $75,000+ — confirmed before you sign. Intended parents match in as little as one week, with no agency fees until a match is confirmed.
Chief Strategy Officer Julianna Nikolic leads strategic initiatives, focusing on growth, innovation, and patient-centered solutions in the reproductive sciences sector. With 26+ years of management experience and a strong entrepreneurial background, she brings deep expertise to advancing reproductive healthcare.