Surrogate Psychological Evaluation: What to Expect

The psychological evaluation is a crucial step in the surrogacy process. If you’re preparing for yours, you probably have questions about what to expect. This guide covers everything — from what the psychologist will ask to how to prepare.

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Key Takeaways

• The evaluation typically takes 2-3 hours and includes an interview plus written testing
• It’s not a “pass/fail” exam — it’s about ensuring you’re prepared and supported
• Your partner/spouse will also be interviewed (if applicable)
• The psychologist is looking for emotional readiness, not perfection
• Being honest is the most important thing you can do

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Why Is a Psychological Evaluation Required?

Surrogacy is an emotionally complex journey. The evaluation serves several purposes:

1. Protect you: Ensure you’re emotionally prepared for the unique challenges of carrying a baby for someone else
2. Protect the intended parents: Confirm that you understand and accept the arrangement
3. Protect the child: Ensure a healthy emotional environment during pregnancy
4. Satisfy legal requirements: Many states require psychological screening as part of the surrogacy process

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What Happens During the Evaluation

Part 1: Clinical Interview (60-90 minutes)

The psychologist will have a conversation with you covering:

Your background:

• Family history and childhood
• Relationship history
• Current living situation and support system
• Mental health history

Your surrogacy motivations:

• Why do you want to become a surrogate?
• How did you learn about surrogacy?
• Have you discussed this with your family and partner?
• What do your children know about surrogacy?

Your understanding of the process:

• What do you know about the medical procedures involved?
• How do you feel about the embryo transfer process?
• What are your expectations for the pregnancy?
• How will you handle complications if they arise?

Emotional preparedness:

• How do you envision the relationship with the intended parents?
• How do you think you’ll feel handing the baby to the intended parents?
• How will you explain the surrogacy to your own children?
• What coping strategies do you use during stressful times?

Part 2: Standardized Testing (45-60 minutes)

You’ll complete one or more written psychological assessments:

• MMPI-2 (Minnesota Multiphasic Personality Inventory): 567 true/false questions assessing personality traits and potential psychological concerns
• PAI (Personality Assessment Inventory): 344 questions covering clinical, treatment, and interpersonal scales
• BDI (Beck Depression Inventory): Brief screening for depressive symptoms

These tests are not about “right” or “wrong” answers — they create a comprehensive profile of your psychological functioning.

Part 3: Partner/Spouse Interview (30-45 minutes)

If you have a partner or spouse, they’ll be interviewed separately. The psychologist wants to understand:

• Their feelings about the surrogacy
• Their level of support for your decision
• How they envision their role during the process
• Any concerns they might have

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What Psychologists Are Looking For

Green Flags

• Clear, genuine motivation to help another family
• Realistic expectations about the process
• Strong support system
• Healthy coping mechanisms
• Good communication skills
• Previous successful pregnancy without major emotional complications
• Supportive partner/family

Potential Concerns

• Unrealistic expectations about the relationship with intended parents
• Financial desperation as primary motivation
• Unresolved grief from previous pregnancy loss
• Untreated mental health conditions
• Lack of support from partner or family
• History of difficulty relinquishing attachment

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How to Prepare

1. Be honest. The psychologist isn’t looking for perfect answers — they’re looking for genuine self-awareness.
2. Talk to your family beforehand. Discuss surrogacy with your partner and children before the evaluation.
3. Know your “why.” Think about your motivations clearly. It’s okay to acknowledge that compensation matters, as long as helping a family is also genuinely important to you.
4. Get a good night’s sleep. The standardized tests require focus and attention.
5. Ask questions. The evaluation is also an opportunity for you to learn and ask about anything you’re unsure about.

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After the Evaluation

The psychologist will prepare a report for the surrogacy agency and fertility clinic. Results typically fall into three categories:

1. Approved — You meet all psychological criteria
2. Conditionally approved — You qualify with certain recommendations (e.g., additional counseling)
3. Not approved at this time — You may not be ready currently, but could reapply in the future

If you’re not approved, the psychologist will usually explain why and may recommend steps you can take before reapplying.

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Frequently Asked Questions

Will they ask about my past mental health?

Yes, but having a history of therapy or treated depression doesn’t automatically disqualify you. They’re looking at your current functioning and how well you manage challenges.

What if my partner doesn’t fully support surrogacy?

This could be a concern. Ideally, your partner should be supportive and understanding. If they have reservations, it’s worth discussing these before the evaluation.

Can I fail the psychological evaluation?

It’s not a “pass/fail” test in the traditional sense. However, if the psychologist determines you’re not emotionally prepared for surrogacy at this time, you may not be cleared to proceed.

How long does it take to get results?

Typically 1-2 weeks. Your surrogacy agency will share the results with you.

Can I redo the evaluation if I’m not approved?

Usually yes, after addressing the psychologist’s concerns. Most agencies allow you to reapply after 6-12 months.