Use this 14-stage record to review the process, costs, timing, parentage steps, and open questions. Answer five questions to compare it with your situation.
Your key questions
Start with the answer to your question. Open source details only when you need to inspect the evidence boundary.
Review the published 14-stage process and sources, then use the checks below for parentage and return-home questions specific to your situation.
As of 2026-07-10 | G2 review limited | 6 source references.
Official payment and expense rules are available below, but no complete public total-budget range has been reviewed for this route.
As of 2026-07-10 | G2 review limited | No source-backed range attached.
No complete public timeline range has been reviewed for this route.
As of 2026-07-10 | G3 source gap | No source-backed range attached.
Destination parentage steps and home-country recognition must both be confirmed for the selected jurisdiction and family context.
As of 2026-07-10 | G2 review limited | 5 parentage source references.
Recommended next step
Answer five intended-parent questions to compare reviewed destinations, documented cases, budget and timing evidence, and the checks that apply to your facts.
BR-SP
Check required
Route-specific gates, sources, and unknowns. General industry guidance lives in the journey guide.
Pre-clear the Brazilian clinical and civil-registration route
Confirm a documented condition that prevents or contraindicates pregnancy, identify the intended parent or parents, genetic plan, proposed carrier, relationship degree, clinic, Regional Council of Medicine, non-commercial structure, support plan, and CNJ birth-registration evidence before treatment. Brazil has no comprehensive surrogacy statute; the modeled route combines medical-regulatory and civil-registry rules and therefore remains review-limited.
Identify the state where embryo transfer will occur and whether the carrier is a blood relative of one partner through the fourth degree. A non-relative case requires prior Regional Council of Medicine authorization. In Sao Paulo, the authorization file is governed by CREMESP Resolutions 382/2024 and 391/2025 and requires at least one patient to be Brazilian or domiciled in Brazil, together with the prescribed clinical, identity, relationship, consent, health, non-commerciality, and responsible-clinician evidence.
Verify the CRHA's local sanitary licence, responsible physician, laboratory and traceability controls, and current standing; retain Brazilian reproductive-law and civil-registry counsel; identify the maternity hospital, psychologist or mental-health professional, obstetrician, paediatric support, and the civil registry expected to receive the birth file. Anvisa's 2026 enforcement action demonstrates that fertility activity without the required sanitary licence is an operational risk, not a theoretical gap.
Use a locally licensed Centro de Reproducao Humana Assistida, document the gamete and embryo source, infectious-disease and genetic testing, cryostorage decisions, import requirements if any, consent, chain of custody, and traceability. Confirm that the embryo plan fits the CFM rules and that the clinic can produce the director and treatment documentation later required for civil registration.
Begin with a carrier who has at least one living child and is a blood relative of one partner through the fourth degree. If no qualifying relative is available, prepare a non-relative CRM authorization case before treatment. The arrangement cannot be profitable or commercial, and the reproductive clinic cannot intermediate selection of the carrier; do not import agency-style paid matching assumptions from commercial jurisdictions.
Document that the carrier has at least one living child, complete physical and mental-health assessment for all involved parties, review obstetric history and current risks, and obtain informed consent addressing biopsychosocial, pregnancy, puerperal, and parentage issues. If the carrier is married or in a stable union, obtain the spouse or partner's written approval. Sao Paulo authorization files require specialist-signed health reports and detailed clinical evidence.
Place in the clinic record the signed informed-consent form, physical and mental-health report, parentage commitment between the patients and carrier, intended-parent commitment to medical and multidisciplinary care through the puerperium, commitment to register the child, and written spouse or partner approval when applicable. Prepare the civil-registration documents during pregnancy. Treat these as required clinical and registry evidence, not as proof that every private term is judicially enforceable.
Use a zero-compensation baseline. For the modeled Sao Paulo non-relative authorization pathway, Resolution 382 requires disclosure that the arrangement is not profitable or commercial even by way of reimbursement, and Resolution 391 requires a declaration of no economic-interest interference; do not model any payment or reimbursement to the carrier as permissible. Separately map direct clinic, medical, counselling, legal, hospital, newborn, and other service costs and obtain written allocation advice without converting those services into a transfer to the carrier.
After clinic, consent, relationship, authorization, and document gates are complete, follow the treating CRHA's medication, thaw, transfer, pregnancy-test, and failed-cycle protocol. In Sao Paulo authorization cases, Resolution 382 limits transfer to one embryo per cycle; Resolution 391 makes the authorization valid for 24 months and one term pregnancy, with a new request required after expiry or for further transfers following a term pregnancy.
Coordinate obstetric care, emergency contacts, clinical records, communication, privacy, work and travel, complication response, counselling, and maternity-hospital handoff. The intended parents' CFM commitment covers medical and multidisciplinary care for the carrier through the puerperium. Keep the parentage commitment and civil-registration package current during pregnancy and record any material change in consent, relationship, clinic, embryo, or intended-parent facts.
Before delivery, give the maternity hospital and civil-registry team a counsel-reviewed plan for the Declaracao de Nascido Vivo, the carrier's consent and parentage commitment, intended-parent identification, clinic director declaration when applicable, relationship evidence, newborn decisions, discharge, paediatric care, and post-partum support. Do not assume hospital staff will infer the CNJ workflow from the private arrangement.
Under current CNJ Provimento 149, register the assisted-reproduction birth in Livro A without prior judicial authorization only when its conditions are met. Both intended parents ordinarily appear; one may appear if they are married or in a stable union and presents the required relationship evidence. Present the live-birth declaration, applicable clinic director declaration, relationship document, and the carrier's signed parentage commitment. In a gestational-surrogacy case, the record does not include the carrier named in the live-birth declaration. The cited rule does not clearly establish this direct route for a single intended parent.
This curated journey is domestic, so it has no routine cross-border exit step. Confirm that the final Brazilian birth certificate and identity data match the accepted parentage record, then determine whether any passport, travel consent, health-system, or benefit document is needed for the family's actual movement or services. Do not reuse this domestic stage as evidence for a foreign-IP route.
Retain the final birth certificate, live-birth declaration, clinic declaration, carrier parentage commitment, consent forms, health reports, relationship and CRM authorization evidence, treatment traceability, and any registry or judicial decision. Confirm that each intended parent's relationship is reflected correctly and resolve any refusal, correction, disputed consent, or non-standard fact through Brazilian counsel and the competent registry or judge. Adoption is not modeled as a routine step in the official domestic baseline.
