For many women, a hysterectomy (the surgical removal of the uterus) represents a significant milestone in life. It may be performed for various reasons: cancer, fibroids, endometriosis, or complications during childbirth. However, beyond the physical aspect, this intervention touches deeply personal areas – it deprives a woman of the ability to carry a child.
Does this mean an end to the dream of motherhood?
No. Thanks to advances in modern reproductive medicine, surrogacy after a hysterectomy is a viable and attainable path to having a child.
This article will discuss the medical and legal nuances faced by women and couples after hysterectomy. We will also address why choosing the right country and an experienced team is crucial for the success of a surrogacy program.
Let us begin by answering some important questions for every woman.
Can I become pregnant after a hysterectomy?
It is not possible to naturally birth a child after a hysterectomy. However, this does not mean that you no longer have the chance to become a mother.
What is a hysterectomy, and why does it preclude pregnancy?
A hysterectomy is the surgical removal of the uterus. Occasionally, the cervix and ovaries are also removed, depending on medical indications. After such a procedure:
- The woman no longer has a uterus, the organ where pregnancy develops.
- Even if the menstrual cycle continues (with preserved ovaries), carrying a child naturally is impossible.
This is an important but psychologically challenging fact for women. However, it is not a verdict. You can still become parents.
Can I have my own children after a hysterectomy?
Yes, if your ovaries are intact, you can become the genetic mother of a child. Even if you cannot carry a pregnancy yourself – thanks to advanced reproductive technologies, you have the chance to have your own biologically related child.
What does it mean to “have your own children” after a hysterectomy?
It is important to differentiate the terms:
- Carrying a pregnancy – impossible after the uterus is removed.
- Genetic relation to the child – possible if you have your own eggs.
If the ovaries continue functioning, or if you had your eggs or embryos frozen earlier, they can be used in a surrogacy program. The embryo will be transferred to the surrogate mother's uterus – the woman who will carry the baby for you.
When is this possible?
You can have your genetic child if:
- Your ovaries are intact after the hysterectomy and produce healthy eggs.
- You preserved eggs before the surgery.
- You can undergo ovulation stimulation and egg retrieval post-surgery (in some cases, this is feasible).
In all these scenarios – surrogacy becomes the key to parenthood.
Can I use surrogacy if I no longer have my own eggs after a hysterectomy?
Yes, you can become a mother through surrogacy even if you don’t have your own eggs. Modern reproductive technologies offer this opportunity to thousands of women worldwide, and over the years of our practice, we have witnessed many stories where the path to family and parenthood began exactly like this.
How does this work?
- An egg donor is selected – often a young, healthy woman with good reproductive potential. This can be an anonymous or known donor. Frequently, sisters donate their eggs for embryo creation, thus ensuring genetic linkage with the child.
- The donor egg is fertilized in the laboratory with sperm from your partner or a donor.
- The embryos created are transferred into the surrogate mother’s uterus, where she carries the pregnancy.
- After birth, you receive a birth certificate listing you as the parents. You will not need complex legal proceedings to adopt; you are the legal parents from the moment of the embryo’s conception.
Will the child be “mine”?
Undoubtedly, this is the most critical question women ask themselves.
Answer: Yes, this child is indeed yours.
Your love, involvement, care from day one, as well as your legal and social parenthood – all of these define you as the mother.
Believe me, when you hold the baby for the first time, the question of “whose egg” becomes irrelevant. He or she is simply your child. You are the unified and legal parents.
Can we use surrogacy if neither my partner nor I can provide genetic material?
This is a question posed by many couples after years of attempts: “If neither I nor my partner can provide genetic material – can we still become parents?”
Answer: Yes, you can become parents through surrogacy using donor material.
When is this relevant?
This situation arises when:
- The woman has had her ovaries removed, or they’ve lost function.
- The man lacks spermatozoa, or his sperm is unsuitable for fertilization.
- There have been repeated unsuccessful cycles with their own cells.
- There are genetic diseases that are inadvisable or dangerous to pass to a child.
In all such cases, donor eggs and sperm are used, and you become parents through a surrogacy program.
How does it work?
- Donors of both eggs and sperm are selected (either anonymous or known, depending on local regulations).
- Embryos are created in the lab via fertilization, forming viable embryos.
- One or more embryos are transferred to the surrogate mother's uterus, where she carries the child.
- Post-birth, the child is legally and factually handed to you as the parents.
Note: All this is fully legal in countries where surrogacy of this type is permitted, such as Mexico, Kyrgyzstan; dual donation to create embryos is allowed. Each step is supported by agreements and legal protection for all process participants: parents, child, surrogate mother.
Legal aspects of surrogacy
For couples who face the impossibility of naturally carrying a child, surrogacy becomes more than just a medical procedure – it is a path to fulfilling the deepest and most important wish: becoming parents. However, it is crucial to understand the legal standings in different countries for legitimate and safe surrogacy programs.
Why is it essential to consider legal aspects?
Surrogacy is impossible without clear legal regulation. If there is no law protecting the rights of all parties – parents, surrogate mother, and future child – the consequences can be unpredictable: from disputes over parental rights to refusal in issuing child documents.
Therefore, the first and most important step is to choose a country where surrogacy is legally allowed and is governed by specific legal norms.
Which countries offer legal and safe surrogacy?
As of today, several countries combine:
- the legality and transparency of surrogacy programs,
- the possibility of participation by foreign couples,
- a high standard of medical care,
- affordable costs,
- and respectful treatment of all participants.
"UAmedTOURS", with over 8 years of experience in guiding couples toward parenthood through surrogacy programs, recommends considering a few countries known as reliable, legal, and accessible for such programs.
Surrogacy in Ukraine
Despite the challenging geopolitical situation, surrogacy programs in Ukraine continue to run successfully, even for foreign citizens. Reliable agencies work exclusively with clinics located in safe regions of the country, where all conditions are provided for conducting the program at a high level – both medically, legally, and ethically.
Surrogacy in Ukraine is completely legal and strictly regulated by the state. The legal framework includes:
- Family Code of Ukraine, Article 123 – establishes the procedure for determining the child's origin born as a result of assisted reproductive technologies.
- Law of Ukraine “Fundamentals of Health Legislation in Ukraine”, Article 48 – defines the right to use ART, including surrogacy.
- Civil Code of Ukraine, Article 281– regulates issues of medical intervention and consent.
- Order of the Ministry of Health of Ukraine No. 771 dated December 23, 2008 «On the approval of instructions on the order of application of assisted reproductive technologies» – provides instructions on the order of assisted reproductive technology applications.
Additionally, Article 40 of the "Fundamentals of Health Legislation in Ukraine” ensures the complete confidentiality of personal information of all program participants.
Thus, Ukraine remains one of the few countries where surrogacy for foreign citizens is not only legal but is backed by clear legal regulation, high medical standards, and a transparent, ethically sound approach.
Advantages of choosing Ukraine as the country for surrogacy in 2025:
- The law permits surrogacy for foreign couples.
- Parental rights are legally established.
- Vast experience, numerous successful cases, high qualification doctors.
With proper organization and legal support – Ukraine remains a realistic and affordable option.
Surrogacy in Georgia
Georgia was one of the first countries where surrogacy was legalized and clearly outlined in the Law on Health Protection of Georgia, Article 143 and the Law on Civil Status Acts Registration, Articles 20-21:
- The law allows both citizens and foreigners to participate in the programs.
- Parental rights are secured for biological parents from day one.
- The child registration procedures are as simplified as possible.
- Clinics adhere to international medical standards.
- Program costs are significantly lower than those in the US or Europe.
Because of this, Georgia is a popular choice among couples worldwide.
Surrogacy in Colombia
Colombia actively develops its reproductive medicine sector, offering the following advantages:
- Legal surrogacy for heterosexual and same-sex couples.
- State-of-the-art clinics and technology that comply with US standards.
- More affordable pricing compared to other Latin American countries.
These factors make Colombia an attractive destination for those seeking surrogacy, especially for same-sex couples or those who, for various reasons, are single but dream of parenthood. The legal framework, including Judgment T-968 of 2009 by the Constitutional Court of Colombia, confirms the legality of this process if all necessary conditions are met.
Surrogacy in Kyrgyzstan
Kyrgyzstan is one of the countries where surrogacy is permitted by law and stringently regulated by the government. Due to a stable legal basis, transparent conditions, and relatively affordable prices, the country becomes an increasingly popular direction for couples needing reproductive medicine assistance, including foreigners.
The legal frameworks governing surrogacy include:
- Law of the Kyrgyz Republic from January 12, 2024, No. 14 «On Health Protection of Citizens». Article 57 establishes citizens' rights to use assisted reproductive technologies, including surrogacy, irrespective of health status and marital status.
- Law «On Reproductive Rights of Citizens and Guarantees of their Implementation». Establishes the rights of citizens to reproductive health and regulates the use of assisted reproductive technology.
- Government Decree No. 337 of July 23, 2018. Confirms the procedure and conditions for using the surrogacy method, including requirements for surrogate mothers and terms of contract conclusion.
- Cabinet of Ministers Decree No. 616 of October 14, 2024. Defines rules for using assisted reproductive technologies, including surrogacy, and sets requirements for medical institutions and specialists.
Advantages of surrogacy in Kyrgyzstan in 2025:
- Surrogacy is permitted by law.
- Has successful experience working with foreign couples.
- Clinics cooperate with international agencies.
- Prices are significantly lower than in Europe and the USA.
Kyrgyzstan is chosen by those seeking a maximally economical yet legally secure program.
Surrogacy in Mexico
In Mexico, surrogacy is a legal procedure, but regulation occurs at the state level, resulting in diversity in legal approaches.
Legal regulation
At the federal level, Mexico does not have a unified law regulating surrogacy. However, certain states have their own regulations:
- State of Tabasco. Since 1997, surrogacy has been permitted, but with restrictions for foreign citizens, single individuals, and members of the LGBTQ+ communities. In 2021, the Mexican Supreme Court declared such restrictions unconstitutional, asserting that surrogacy should be available to everyone, regardless of citizenship, marital status, or sexual orientation. Furthermore, it was confirmed that legal parentage should be determined not by the fact of pregnancy but by the parties' will to have a child. Thus, the intended parents who have entered into a surrogacy contract are recognized as the child’s legal parents.
- State of Sinaloa. In 2013, the Civil Code (Chapter 5) was amended to legalize surrogacy, but exclusively for couples with a verified infertility diagnosis.
Mexico is an excellent alternative for residents of America and Western Europe who consider geographical proximity and legal protection important.
Surrogacy in Albania
The country is in an active development phase for surrogacy programs and has several positive aspects:
- The processes are regulated, and programs are legally accompanied.
- The possibility for legal participation by foreign citizens.
- Lower expenditures.
- A tailored approach and development of the clinical base.
Legislation governing surrogacy in Albania is based on the Law No. 8876 of 04.04.2002 «On Reproductive Health» and the Civil Code, particularly Article 261, which establishes that the same criteria and procedures that apply to adoption also apply to the surrogacy process.
Why is surrogacy with «UAmedTOURS» safe?
When collaborating with us, you can be assured that:
- We offer surrogacy programs only in countries where it is legally permitted.
- We manage the entire program cycle, ensuring parents need not worry.
- In all our partner countries, there exist legal and clear procedures for obtaining citizenship and documentation for the child.
- In our chosen countries, the process is monitored by government and medical institutions.
- All programs are conducted with respect to ethical standards, the surrogate mother's safety, and the interests of the future child and parents.
Turning to «UAmedTOURS», you receive a set of well-curated propositions for various destinations completely meeting your requirements. We craft each proposal individually, offering only tested and reliable options. Contact us, and we will select the best country for your surrogacy goals. Our contact information:
A medical diagnosis, including total or partial hysterectomy, does not signify the end of the dream of having a child. Today, there are legitimate, safe, and affordable ways to become parents through surrogacy.
The key is in choosing the right country, partners, and clinic. The «UAmedTOURS» team will assist you in navigating this journey from the first inquiry to your baby's birth.
There are no hopeless situations. With us, parenthood is possible. We are here to make it a reality!
