Surrogacy in India: Political and Commercial Framings

  • Sunita Reddy
  • Tulsi Patel
  • Malene Tanderup Kristensen
  • Birgitte Bruun Nielsen


India stood as a ‘baby cradle’ for the world, and a preferred destination for IVF and surrogacy. Based on the empirical research in different cities in India, and secondary sources, the authors address the policy shifts and the process in which surrogacy became a debatable issue. From unregulated commercial gestational surrogacy, the policy shifted to proposing a complete ban on commercial surrogacy allowing only altruistic surrogacy for Indian couples. The law on surrogacy is still in its making and various stakeholders are advocating towards reversal of the proposed ban, as it will incur financial huge losses for the IVF clinics and surrogates. It is yet to be seen when the law will be passed and what will be the final decision, who will monitor and regulate it.


  1. Bureau, B. (2017). IVF market in India to reach $775 million by 2022. Business Standard [online]. Available at Accessed 13 Aug 2017.
  2. Carney, J. (2015). Baby boy abandoned in India by parents who kept his twin sister but left him behind ‘as they already had a boy and couldn’t afford twins’. Mail Online [online]. Available at Accessed 2 Apr 2017.
  3. Cohen, L. (2008). Operability, bioavailability and exception. In A. Ong & S. J. Collier (Eds.), Global assemblages: Technology, politics, and ethics as anthropological problems (pp. 79–90). Hoboken, NJ: Wiley.Google Scholar
  4. Crozier, G. K. D. (2010). Protecting cross-border providers of ova and surrogacy services? Global Social Policy, 10(3), 299–303.CrossRefGoogle Scholar
  5. Deomampo, D. (2013). Transnational surrogacy in India: Interrogating power and women’s agency. Frontiers: A Journal of Women Studies, 34(3), 167–188.CrossRefGoogle Scholar
  6. Franklin, S. (1997). Embodied progress: A cultural account of assisted conception. New York: Routledge.CrossRefGoogle Scholar
  7. Franklin, S., & Ragoné, H. (1998). Reproducing reproduction: Kinship, power, and technological innovation. Philadelphia: University of Pennsylvania Press.Google Scholar
  8. Ganguly, M. (2013). India’s Supreme Court upholds right to privacy. Human Rights Watch [online]. Available at Accessed 18 Nov 2017.
  9. Ganguly, S., & Unisa, S. (2010). Trends of infertility and childlessness in India: Findings from NFHS data. Facts, Views & Visions in ObGyn, 2(2), 131–138.Google Scholar
  10. Ginsburg, F., & Rapp, R. (1991). The politics of reproduction. Annual Review of Anthropology, 20, 311–343.CrossRefGoogle Scholar
  11. Gupta, A. S. (2008). Medical tourism in India: Winners and losers. Indian Journal of Medical Ethics, 5(1), 4–5.Google Scholar
  12. Gupta, J. A., & Richters, A. (2008). Embodied subjects and fragmented objects: Women’s bodies, assisted reproduction technologies and the right to self-determination. Journal of Bioethical Inquiry, 5, 239–249.CrossRefGoogle Scholar
  13. Hartmann, B. (2006). Everyday eugenics. ZCommunications [online]. Available at Accessed 19 Oct 2017.
  14. Indian Council of Medical Research (ICMR). (2005). National guidelines for the supervision and regulation of ART clinics in India [online]. Available at Accessed 29 Apr 2017.
  15. Indian Council of Medical Research (ICMR). (2010). National registry of assisted reproductive technology (ART) clinics and banks in India [online]. Available at Accessed 13 Aug 2017.
  16. Indian Society for the Study of Reproduction and Fertility (ISSRF). (2017, January 23–25). Souvenir and Abstract Book. International conference on reproductive health with emphasis on strategies for infertility, assisted reproduction and family planning. Organised by ISSRF, ICMR and Indian fertility society (IFS) and other organisations, New Delhi.Google Scholar
  17. Inhorn, M., & Van Balen, F. (2002). Infertility around the globe: New thinking on childlessness, gender, and reproductive technologies. Berkeley: University of California Press.Google Scholar
  18. Kusum, S. (2017). Souvenir and Abstract Book. New Delhi: Indian Society for the Study of Reproduction and Fertility (ISSRF).Google Scholar
  19. Markens, S. (2012). The global reproductive health market: U.S. media framings and public discourses about transnational surrogacy. Social Science and Medicine, 74(11), 1745–1753.CrossRefGoogle Scholar
  20. Ministry of Health and Family Welfare. (2008). The Assisted Reproductive Technology (Regulation) Bill 2008 [pdf]. Available at Accessed 7 Nov 2017.
  21. Ministry of Health & Family Welfare, Government of India, New Delhi. (2010). The Assisted Reproductive Technologies (Regulation) Bill [online]. Available at Accessed 29 Apr 2017.
  22. Mitra, S., & Schicktanz, S. (2016). Failed surrogate conceptions: Social and ethical aspects of preconception disruptions during commercial surrogacy in India. Philosophy, Ethics, and Humanities in Medicine [online]. Available at Accessed 10 Dec 2017.
  23. Overall, C. (2012). Ethics and human reproduction: A feminist analysis. London: Routledge.Google Scholar
  24. Palattiyil, G., Blyth, E., Sidhva, D., & Balakrishnan, G. (2010). Globalization and cross-border reproductive services: Ethical implications of surrogacy in India for social work. International Social Work, 53(5), 686–700.CrossRefGoogle Scholar
  25. Pande, A. (2009). “It may be her eggs but it’s my blood”: Surrogates and everyday forms of kinship in India. Qualitative Sociology, 32(4), 379–397.CrossRefGoogle Scholar
  26. Pande, A. (2010). Commercial surrogacy in India: Manufacturing a perfect mother-worker. Signs: Journal of Women in Culture and Society, 35, 969–992.CrossRefGoogle Scholar
  27. Pande, A. (2017). Gestational surrogacy in India: New dynamics of reproductive labour. In E. Noronha & P. D’Cruz (Eds.), Critical perspectives on work and employment in globalizing India (pp. 267–282). Singapore: Springer.CrossRefGoogle Scholar
  28. Parliament of India. (2016). The Surrogacy (Regulation) Bill 2016 [pdf]. Available at,%202016.pdf. Accessed 7 Nov 2017.
  29. Qadeer, I. (2010). Benefits and threats of international trade in health: A case of surrogacy in India. Global Social Policy, 10, 303–305.CrossRefGoogle Scholar
  30. Qadeer, I., & John, M. E. (2009). The business and ethics of surrogacy. Economic and Political Weekly, 44(2), 10–12.Google Scholar
  31. Rao, M. (2012). Why all non-altruistic surrogacy should be banned. Economic and Political Weekly, 47(21), 15–17.Google Scholar
  32. Reddy, S., & Patel, T. (2012). Reproductive tourism in India: An ethnographic study of surrogacy in Hyderabad. New Delhi: Ministry of Women and Child Development.Google Scholar
  33. Reddy, S., & Patel, T. (2015). “There are many eggs in my body”: Medical markets and commodified bodies in India. Global Bioethics, 26(3–4), 218–231.CrossRefGoogle Scholar
  34. Reddy, S., Patel, T., Tanderup, M., & Nielsen, B. B. (2015). Breastfeeding and bonding: Issues and dilemmas in surrogacy. In T. Cassidy & A. El-Tom (Eds.), Ethnographies of breast feeding: Cultural contexts and confrontations (pp. 157–171). London: Bloomsbury.Google Scholar
  35. Reddy, S., & Qadeer, I. (2010). Medical tourism in India: Progress or predicament. Economic and Political Weekly, 45(20), 69–75.Google Scholar
  36. Rudrappa, S. (2010). Making India the “mother destination”: Outsourcing labor to Indian surrogates. Research in the Sociology of Work, 20, 253–285.CrossRefGoogle Scholar
  37. Sama. (2007). Assisted reproductive technologies in India: Implications for women. Economic and Political Weekly, 42(23), 2184–2189.Google Scholar
  38. Sama. (2009). Assisted reproductive technologies: For whose benefit? Economic and Political Weekly, 44(18), 25–31.Google Scholar
  39. Sarojini, N., Marwah, V., & Shenoi, A. (2011). Globalisation of birth markets: A case study of assisted reproductive technologies in India. Globalization and Health, 7(1), 1–9.CrossRefGoogle Scholar
  40. Saravanan, S. (2013). An ethnomethodological approach to examine exploitation in the context of capacity, trust and experience of commercial surrogacy in India. Philosophy, Ethics, and Humanities in Medicine, 8(1), 10.CrossRefGoogle Scholar
  41. Scheper-Hughes, N. (1985). Culture, scarcity, and maternal thinking: Maternal detachment and infant survival in a Brazilian shantytown. Ethnos, 13(4), 291–317.Google Scholar
  42. Sahadevan, S. (2016). Tusshar Kapoor becomes father to baby boy using surrogacy. The Indian Express [online]. Available at Accessed 16 Nov 2017.
  43. Shanley, M. L. (2002). Making babies, making families: What matters most in an age of reproductive technologies, surrogacy, adoption, and same-sex and unwed parents. Boston, MA: Beacon Press.Google Scholar
  44. Shivaraya, M., & Halemani, B. (2007). Infertility: Psycho-social consequence of infertility on women in India. Indian Journal of Social Development, 7(2), 309–316.Google Scholar
  45. Singh, A., Dhaliwal, L. K., & Kaur, A. (1996). Infertility in a primary health centre of north India: A follow-up study. Journal of Family Welfare, 42(1), 51–56.Google Scholar
  46. Smerdon, U. R. (2008). Crossing bodies, crossing borders: International surrogacy between the United States and India. Cumberland Law Review, 39, 15.Google Scholar
  47. Sonwalkar, P. (2016). Regulate don’t ban surrogacy UK couples urge India. Hindustan Times [online]. Available at Accessed 6 Dec 2017.
  48. Sreenivas, K., & Campo-Engelstein, L. (2010). Domestic and international surrogacy laws: Implications for cancer survivors. Cancer Treatment and Research, 156, 135–152.CrossRefGoogle Scholar
  49. Tanderup, M., Reddy, S., Patel, T., & Nielsen, B. B. (2015a) Informed consent in medical decision-making in commercial gestational surrogacy: A mixed methods study in New Delhi, India. Acta Obstetricia et Gynecologica Scandinavica, 94(5), 465–472.CrossRefGoogle Scholar
  50. Tanderup, M., Reddy, S., Patel, T., & Nielsen, B. B. (2015b). Reproductive ethics in commercial surrogacy: Decision-making in IVF clinics in New Delhi, India. Journal of Bioethical Inquiry, 12(3), 491–501.CrossRefGoogle Scholar
  51. Teman, E. (2008). The social construction of surrogacy research: An anthropological critique of the psychosocial scholarship on surrogate motherhood. Social Science and Medicine, 67(7), 1104–1112.CrossRefGoogle Scholar
  52. The Times of India. (2015a). Surrogate mothers stage protest in Anand [online]. Available at Accessed 6 Dec 2017.
  53. The Times of India. (2015b). Women protest surrogacy ban for foreigners [online]. Available at Accessed 6 Dec 2017.
  54. The Times of India. (2017). I feel enormously blessed: Karan Johar [online]. Available at Accessed 16 Nov 2017.
  55. United Nations Population Information Network (POPIN). (1994, September). International conference on population and development (ICPD). Cairo [online]. Available at Accessed 2 Apr 2017.
  56. Vora, K. (2013). Potential, risk, and return in transnational Indian gestational surrogacy. Current Anthropology, 54(S7), 97–106.CrossRefGoogle Scholar
  57. Whittaker, A. (2011). Cross-border assisted reproduction care in Asia: Implications for access, equity and regulations. Reproductive Health Matters, 19(37), 107–116.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Sunita Reddy
    • 1
  • Tulsi Patel
    • 2
  • Malene Tanderup Kristensen
    • 3
  • Birgitte Bruun Nielsen
    • 4
  1. 1.Centre of Social Medicine and Community Health, School of Social SciencesJawaharlal Nehru UniversityNew DelhiIndia
  2. 2.Department of Sociology, Delhi School of EconomicsUniversity of DelhiNew DelhiIndia
  3. 3.Gynecology and Obstetrics DepartmentAarhus University HospitalViborgDenmark
  4. 4.Obstetric Clinic, RigshospitaletCopenhagen University HospitalCopenhagenDenmark

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