I feel increasingly uneasy about the direction in which reproductive technologies and surrogacy are taking place in society. My perspective does not come from infertility, fertility treatment, or involvement in surrogacy arrangements. It comes from a lifetime of reflecting on family, motherhood, belonging and the consequences of human vulnerability. As a daughter, granddaughter and as a mother, I carry a personal history shaped by displacement, sexual abuse and physical abuse. Those experiences have made me deeply aware of how power operates and how people facing hardship can become vulnerable to exploitation, even when exploitation is presented as opportunity or empowerment.
Discussions around surrogacy are often framed around the hopes and desires of adults who wish to have children but much less attention is given to the growing number of women who are drawn into surrogacy, but it is their bodies, their mental health that is at risk.
Because I have not walked the path of infertility I approach the subject with humility. I recognise the profound grief and soul-searching that can accompany the inability to conceive a child. Yet compassion for that suffering does not remove the need to ask serious ethical questions around the solutions being offered. For many women, concern about surrogacy is not rooted in hostility towards those who long for children. Rather, it comes from a sense that something fundamental about human relationships is being altered in ways we have not fully considered.
At the centre of every surrogacy arrangement is a pregnant woman and the child growing within her. Pregnancy begins with a unique relationship between the mother and her child. Family members relate to the unborn child, children observe their mother’s pregnancy and begin to understand that they, too, once began life in the same way. Pregnancy is the first chapter of a story of belonging.
Surrogacy introduces a different reality. The child is intentionally conceived with the expectation that they will be separated from their mother who carried them. When that separation occurs as part of a contractual arrangement, many women find themselves asking questions that are rarely discussed openly. What does this mean for the child? How will future generations understand the meaning of motherhood, kinship, and origin? What are the emotional and existential consequences when the earliest human bond becomes subject to a transaction?
These concerns are not always easily expressed because they touch on dimensions of life that modern culture often struggles to discuss: identity, attachment, meaning and the spiritual significance of human relationships.
For some women, concern extends beyond the surrogate pregnancy itself to the wider fertility industry. They question the creation of multiple embryos, the fate of embryos that are not implanted and the growing use of donor conception. They worry about a system that increasingly treats human reproduction as a process that can be organised, managed, bought and sold.
There is also unease about the commercial pressures driving this industry. While surrogacy is often presented as an act of generosity there are economic inequalities that underpin these arrangements. Wealthier individuals are able to access ‘reproductive services’ provided by women whose financial circumstances are limited. This imbalance raises questions about consent, autonomy and whether genuine freedom can exist in these conditions.
Increasingly, some women fear that society is moving towards a view of reproduction in which technology and market forces take precedence over human relationships. I am one of those women. We see the normalisation of reproductive outsourcing as part of a broader trend towards viewing the human body, fertility and even children through the lens of production – almost one of manufacturing when you consider egg harvesting and pre-implantation testing alongside capitalism and consumerism.
Whether one describes this concern in moral, philosophical or spiritual terms, the underlying question remains the same: what does it mean to be human and what responsibilities do we owe to the most vulnerable among us?
These questions are not anti-child, anti-family, or anti-compassion. They emerge precisely because of a desire to protect human dignity. As public debate continues, there is a growing need to create space for perspectives that are often overlooked. This includes the voices of surrogate-born people, donor-conceived individuals, women who regret being surrogates mothers and those who simply feel compelled to question the ethical implications of an expanding global industry.
For many women, this conversation is ultimately about more than surrogacy. It is about preserving a vision of humanity grounded in relationships rather than transactions, belonging rather than abstraction and human dignity over commodification.
If we are to move forward responsibly, we must be willing to engage in deeper reflection, not only on what is technologically possible, but on what kind of society we wish to become.
~ V.V