Supporters of surrogacy often argue that the answer to the myriad of ethical concerns regarding surrogacy is better regulation. Supporters claim that regulation protects and safeguards women and children from exploitation and abuse. They are wrong. Increasingly, we see countries apply regulatory models that still fail women and children.
America’s commercial model remains the preferred option for British commissioning parents as the USA has taken the number one spot for surrogacy for over a decade. Asian Businessmen are a popular cohort within the USA’s commissioning parents group.
One study in the United States found that of the 40,000+ embryo transfers to a surrogate mother performed between 2014 to 2020, 32% were for international commissioning parents. These foreign nationals were more likely to be male, older than 42 years, and ‘identify as Asian’. The father of Olympic medalist, Alyssa Lui, Arthur (Junguo) Liu, is an attorney and former political activist. Having always wanted a large family he obtained has five children (Alysa, a younger sister, and triplets), all born via surrogacy and anonymous egg donors.
Another Chinese commissioning parent, billionaire video-game executive Xu Bo, claimed in 2025 that he has “a little over 100” children born via surrogacy in the U.S – though his ex-girlfriend, Tang Jing, claims the number is closer to 300 children worldwide – to obtain ‘high quality sons’ as for him, boys are “superior” to girls for leadership roles.
Now, take the extraordinary case of American businessman Greg Lindberg. This former billionaire built what has been described as a “baby project” involving dozens of egg donors, surrogate mother mothers, fertility clinics, lawyers and staff. Through a network involving at least 25 women, he fathered numerous children using ‘donor’ eggs and surrogate mothers, all whilst facing criminal investigations, imprisonment and financial collapse.
Although Lindberg was based in North Carolina where surrogacy is permitted and enforced through contract law, many of the surrogacy pregnancies occurred in other states. This type of interstate arrangement is common in the United States, as commissioning parents often pursue surrogacy in jurisdictions with more favorable legal frameworks. State laws generally do not prevent residents from entering surrogacy arrangements elsewhere and then returning home with the child. A similar dynamic exists in the UK; residents may engage in commercial surrogacy overseas and return to the UK with the child, even though commercial surrogacy is illegal.
The states where Lindberg’s surrogacy pregnancies occurred each had their own legal frameworks for gestational surrogacy. For example, in Illinois the surrogate mother must be at least 21 years old, have given birth to at least one child, pass medical/mental health screening and at least one commissioning parent must be genetically related to the child. Lindberg met this criteria.
In Florida, enforceable gestational surrogacy contracts are generally limited to married couples when a physician determines that the commissioning mother cannot safely carry a pregnancy. As an unmarried man, Lindberg would not meet those statutory requirements but Florida law provides alternative parentage pathways, including preplanned adoption agreements.
New York is often cited as having the strongest surrogacy protections in the United States. The law requires surrogate mothers to be at least 21 years old and guarantees their right to make all medical decisions during pregnancy and mandates that commissioning parents pay for independent legal representation, comprehensive health insurance, and life insurance. The state also requires either the surrogate mother or at least one commissioning parent to have been a New York resident for six months. Together, these protections are frequently described as the gold standard but you’ll notice that no such checks or investigations apply to the commissioners. Regulation is designed to put the woman under the magnifying glass, not the person or people who walk away with a newborn.
Clinics, agencies, lawyers and professional bodies were all involved in obtaining children for Greg Lindberg, yet despite these layers of oversight, numerous women reported experiences of manipulation, deception and coercion. Several women who ‘donated’ their eggs described being recruited through romantic relationships. Some were promised marriage, a family life and substantial financial rewards. Others believed they were helping an infertile couple. Some women said they were unaware that multiple other ‘donors’ and surrogate mothers were being recruited simultaneously.
The existence of safeguards, legal contracts, life insurance, or psychological screening did not prevent this deception. In fact, many of the women signed legal agreements relinquishing rights to their eggs and any resulting children.
Greg Lindberg’s girlfriend has been given the pseudonym ‘Anya’. Anya has reportedly not seen her son Oliver in nearly four years as allegedly Lindberg used legal contracts signed by Anya during the IVF process to claim she was merely an “egg donor” and to cut her out of her son’s life. Regulation may have ensured paperwork was complete, but consent was not freely given as his intentions were kept hidden.
One problem with regulation is that it is not court-ordered, “tell the whole truth and nothing but the truth”. It is a flimsy form of red tape, built by stakeholders, none of which can force someone to be honest about their plans. For Lindberg, the truth came out when he was prosecuted – not for lies and deception in surrogacy and IVF fraud, but for a multibillion-dollar insurance fraud and a high-level public corruption plot. The money paid to buy children is neither here nor there. The purchase and sale of human beings is not a crime in surrogacy, it is the central purpose and not an illegal act under ‘regulation’.
The truth is there is a fundamental weakness in the regulatory approach to surrogacy. Those who manage it are the ones who benefit. Can we trust those who are so invested in the industry to say no when it is needed and work in the best interests of the woman, or even the child? Many agencies are run by commissioning parents or surrogate mothers.
Regulation tends to focus on procedures: contracts must be signed, medical tests completed and counselling offered. Boxes can and will be ticked, but exploitation often occurs in the human relationships surrounding the process. A woman may technically consent while being emotionally pressured, financially induced or misled about the circumstances. No amount of paperwork can fully eliminate risks of exploitation or the medical risks involved in surrogacy.
The role of fertility clinics here is troubling. According to the investigation, just one clinic declined to work with Lindberg. Others reportedly continued accepting ‘donated’ eggs and surrogate mothers despite concerns raised by staff. Some women ‘donating’ their eggs alleged that warning signs were ignored. Former employees reportedly questioned whether women were being rushed through screening processes.
Whether every allegation can be substantiated is ultimately a matter for the police and judiciary. There are no public reports on the location of the children and who is caring for them now that Lindberg is back behind bars. Perhaps this is for the best so the children can maintain their anonymity and grow up without the spectre of the Baby Project looming over their childhood.
However, the broader point remains: regulation did not stop the system from functioning in this way. The professional guidelines that were supposed to provide safeguards did not prevent the Lindberg Baby Project.
Shamefully, this case is not an isolated example. In 2025 the Arcadia Surrogacy scandal revealed how dozens of women across multiple U.S. states were misled by a Californian surrogacy agency operated by commissioning parents. Silvia Zhang and Guojun Xuan had more than twenty-one children born through surrogacy arrangements across the United States. The case came to light after a two-month-old infant in their care was hospitalised with serious injuries, prompting police and child protection authorities to investigate. Officials later discovered all the very young children living in their mansion.
Multiple surrogate mothers came forward claiming they had been misled or not told that other surrogacy pregnancies were occurring simultaneously. All of the children were placed into protective custody whilst their welfare and long-term arrangements were assessed. (A further six children were born after investigations began.)
Most surrogacy regulation focus heavily on getting a live child and establishing legal parental rights. Far less scrutiny is applied to their long-term welfare. These cases highlight how regulatory systems fail at the point of consent – as clinical protocols do not prevent deception or unequal power dynamics – and again similar shortcomings occur after the children are born. This second level failure happens when surrogacy arrangements produce multiple children under legal frameworks, but there is limited safeguarding for the child.
Some children were born while Lindberg was in prison despite staff reportedly expressing concern about future childcare considering the ongoing financial difficulties, yet embryos continued to be created and implanted.
It’s clear that wealth can overwhelm safeguards. Lindberg reportedly spent over $15.4 million in direct payments to women and another $12 million on “reproductive services”. He also paid for rent, child care and cosmetic dentistry for some of the women involved.
Wealthy commissioning parents can hire lawyers, consultants, recruiters and clinics to facilitate their plans, significant sums of money are involved. Financial incentives compete with ethical concerns. Clinics charge fees. Agencies earn commissions. Lawyers are paid for their services. In such circumstances, the best interests of women and children are not the primary consideration.
Advocates of surrogacy frequently argue that problems arise because regulation is insufficient. Yet the Lindberg case suggests a deeper issue. The problem was not an absence of rules. It is the assumption that a market involving reproduction, money and unequal power can be made fully safe and the expectation, or naive belief, that regulation will be applied as the law says it will be.
Women may still be pressured. Children are the result of adult desires rather than individuals with independent interests. Industry professionals have financial incentives and determined individuals will find ways to manipulate the system.
Regulation, however extensive, does not seek to protect women from exploitation or children from being commodified. If a network of clinics and lawyers cannot prevent exploitation from taking place, policymakers should be cautious about claims that surrogacy can simply be made safe through better regulation.
Before expanding markets in reproduction, governments should ask a more fundamental question: are some risks inherent to the practice itself, and therefore beyond the reach of regulation?
This blog was written by Kallie Fell, Executive Director of the Center for Bioethics and Culture Network and Lexi Ellingsworth, Founder of Stop Surrogacy Now UK.





