What the HFEA’s fertility treatment 2023 report tells us about surrogacy in the UK

The Human Fertilisation and Embryology Authority (HFEA) is the UK’s independent regulator of fertility treatment and embryo research. Their recently published report, Fertility Treatment 2023: Trends and Figures, offers a valuable snapshot of how fertility treatment is evolving – and what it means for surrogacy in the UK.

 cycles acA closer look at the numbers

Although some surrogacy specific data is not included, the report does shine a light on the number of IVF treatment cycles involving surrogacy. While IVF use overall continues to rise, the number of IVF treatments accessed by surrogates has actually fallen – from 267 in 2019 to 233 in 2023. That’s a 13% drop, and it’s a trend that raises important questions.

Surrogacy on the rise – but not without challenges

Over the past decade, the number of families created through surrogacy in England and Wales has more than quadrupled. This is a powerful reflection of how surrogacy is becoming a more accepted and celebrated way to build a family. But while demand continues to grow, the number of UK surrogates has not kept pace.

Our sibling organisation NGA Law recently blogged about the low numbers of UK surrogates citing a lack of legal certainty in UK surrogacy as well as confusion around expenses creating uncertainty and emotional complexity for UK surrogates and intended parents.

This imbalance leaves many intended parents facing long waits and difficult choices. For some, that means turning to international surrogacy – an option that can be more expensive and complex. At Brilliant Beginnings, we support many families on US surrogacy journeys, helping them navigate the process safely, ethically, and legally. Our sibling organisation NGA Law also supports parents untangling the legal aspects of surrogacy in other international destinations, which be complex and Involve lengthy travel document applications.

Why UK surrogacy needs more support

The shortage of UK surrogates highlights the urgent need for greater awareness, better support, and meaningful reform. We believe that surrogacy in the UK should be a viable, supported, and positive experience for everyone involved.

Standing beside surrogates – every step of the way

At Brilliant Beginnings, we know that surrogates are extraordinary people. For over a decade, we’ve helped women explore whether surrogacy is right for them, offering honest guidance and unwavering support.

We’re proud to be the only UK agency offering unlimited support throughout the entire journey – from initial screening and preparation to post-match care. Whether it’s celebrating a positive pregnancy test or navigating the unexpected, we’re there every step of the way.

Looking ahead

As we look to the future, one thing is clear: more must be done to support and encourage UK surrogacy. With the right support, surrogacy can continue to be a safe, ethical, and accessible path to parenthood – one that brings joy, connection, and hope to everyone involved.