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United Nations Special Rapporteur Reem Alsalem recently released her report on violence against women and girls with a focus on surrogacy, one of the most controversial topics in the medical field.
United Nations Special Rapporteur Reem Alsalem. Credit: UN Photo/Loey Felipe
– A United Nations report calling for the global abolition of surrogacy has sparked intense debate among experts, with critics arguing that blanket bans could harm the very women the policy aims to protect.
Reem Alsalem, the United Nations Special Rapporteur on violence against women and girls, issued a report on violence against women and girls with a specific focus on surrogacy as a form of exploitation. The report, officially titled “The different manifestations of violence against women and girls in the context of surrogacy,” was published on July 14, 2025, and is slated for discussion at the upcoming UN General Assembly session in October.
The report calls surrogacy “direct and exploitative use of a woman’s bodily and reproductive functions for the benefit of others, often resulting in long-lasting harm and in exploitative circumstances.”
It further delves into the danger of surrogacy business models, in particular, which embrace the ambiguity of international law to churn a profit, often at the expense of both the surrogate and the prospective family. Alsalem recommends the abolition of surrogacy and asks member states to “work towards adopting an international legally binding instrument prohibiting all forms of surrogacy.”
One of the largest problems with surrogacy today, according to Senior Lecturer at Swinburne University Jutharat Attawet, is a lack of comprehensive education and legal standards around the practice. This results in social alienation and false conceptions, which worsen exploitation of people who participate in surrogacy—they are not provided adequate resources
Attawet, who specializes in surrogacy healthcare and domestic policy, considers surrogacy itself a beneficial tool for nontraditional family building. However, she acknowledges the steps it has to take to ensure autonomy and respect for surrogates.
Attawet’s research, cited in Alsalem’s report, shows that approximately 1 percent of babies born in Australia are from surrogates, so although the number has doubled over the past decade, doctors are not familiar with the process. Furthermore, legislation is primarily top-down rather than region- or area-specific. Since doctors in places like Australia are “intimidated by the language” surrounding surrogacy due to minimal education, they are less willing to openly engage with the procedures. This pushes families to seek surrogates elsewhere, where laws are less stringent and doctors more comfortable with the procedures.
Another incentive for overseas surrogacy, Attawet says, is lack of national support for surrogacy. Since it does not fulfill the criteria of most healthcare insurance plans, prospective parents often seek a more affordable surrogacy birth internationally. This further contributes to the exploitation both she and Alsalem note in their respective research—international surrogacy is much more difficult to regulate between different countries’ laws and often primarily harms the surrogate and the child, who is less likely to know their birth mother from an international surrogacy.
Alsalem criticized the practice of international surrogacy as an exploitative technique to perpetuate wealth inequality between different countries, but many experts argue that the job is one of the few accessible, well-paying jobs for child-bearing people who need to care for their family full-time. Polina Vlasenko, a researcher whose work was also cited in Alsalem’s report, explained to IPS that international surrogacy in Ukraine and the Republic of Georgia “is the type of job you can combine with having a kid and being a full-time caretaker of your kid… it still benefits women.”
Vlasenko elaborated, saying that most workers in the surrogacy industry, including intermediaries and clinicians, were women who had some sort of pre-existing connection to the process—often being former surrogates. To ban surrogacy entirely, Vlasenko argues, would merely harm women in all facets of the industry rather than resolving wealth gaps. She said, “this inequality is much deeper than services of surrogacy.”
Social worker and professor at Ohio State University Sharvari Karandikar similarly opposes the Special Rapporteur’s recommendation of abolition. In an interview with IPS, Karandikar explained that “in countries like India, it’s really hard to implement policies in a uniform way, and I think that one needs to have proper oversight of medical professionals and how they’re engaging in surrogate arrangements and medical tourism. Blanket bans do not work.”
She emphasized the dangers of surrogacy without regulation, saying it would only do more harm.
Instead, Karandikar advocates for “the safety, the better communication, more education, more informed choice and decision, more safeguards, better treatment options, and long-term health coverage for women who engage in surrogacy” as “a wonderful way to speak about women’s choices, decisions and their health instead of penalizing anyone.”
However, in order for the global conversation surrounding surrogacy to center around female agency, experts like Vlasenko say the perception of surrogates needs to change. She said, “sex work is not seen as violence or exploitation when it’s done for free… it’s the same with childbirth… surrogate mothers are taking the only work that, in their situation, allows them to fulfill certain responsibilities like childcare and income generation. They think that they’re agents in this process, but society sees them as victims.”
Ultimately, the surrogacy debate reflects broader questions about women’s autonomy, economic inequality and reproductive rights. As Vlasenko noted, addressing the “much deeper inequality” that pushes women to surrogacy may prove more effective than focusing solely on limiting the practice itself.
IPS UN Bureau Report
