The major indications for treatment by in vitro fertilization (IVF)-surrogacy are congenital absence of the uterus and previous hysterectomy for haemorrhage or malignancies. The genetic couple is seen in consultation so that a full history can be taken and a full examination carried out. A surrogate host may be a relative of the genetic couple or a close friend. Counselling and appropriate legal advice is essential to all parties of a surrogacy arrangement. Usually, the genetic mother undergoes an (IVF) cycle with a standard follicular stimulation regimen and oocyte collection. After the process of examination, counselling and Ethics Committee approval, the surrogate host is reviewed and her treatment cycle arranged. To date, relatively few reports of large series of IVF-surrogacy treatments have been published. The major complications arising out of treatment by IVF-surrogacy have involved legal issues, the custody of the resulting child being the main example.