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IVF for same-sex couples (ROPA & surrogacy)

Legal routes and costs for female and male couples.

Legal routes and costs for female and male couples. This guide uses public registry data (SART/CDC, HFEA, ESHRE) and is written for international patients comparing countries.

Key points

Regulatory arbitrage — why country matters

🥚Egg donation is banned in Germany, Switzerland & Italy-restricted — patients legally travel to Spain, Czechia, Greece.
👩Single women & female couples: yes in Spain/Greece/Denmark/UK/Portugal; restricted in Germany/Poland/Turkey.
🧬Non-medical sex selection: legal in North Cyprus & USA only.
🤰Paid surrogacy: Georgia & USA; altruistic: Greece, UK, Portugal; banned in Germany/France.

Laws change — verify current eligibility for your nationality and situation.

Model your case in the cost-per-baby calculator or get a free clinic match.

Educational; consult a fertility specialist.

More guides

Cost per baby, not per cycle — the only number that mattersOwn eggs vs donor eggs — the age-40 decisionEgg donation is banned in Germany — your legal optionsIVF over 40: realistic odds and the smartest pathIVF for single women: which countries, what it costs

Find the country where your baby costs the least.

We compare IVF success rates, prices and laws across 12 countries — using real CDC, HFEA and ESHRE data — to show your true cost per baby, not per cycle. Donor eggs, age 40+, single or same-sex: we show where it's affordable and legal for you.

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