Uterus transplantation involves a vascularised composite allograft for women with absolute uterine factor infertility, and is considered research. It requires a large medical and surgical multidisciplinary team, requires adequate psychological support and risks premature birth in the offspring. We compare it with the alternative of surrogacy, with the pros and cons regarding the prospective parents and offspring, the parental project collaborators, whether dead or live uterine donor or the gestating surrogate, and society at large. The possible aspects of cross-border reproductive care are also considered before concluding that it is still ‘a step too far’.