Surrogacy has recently gained national attention due to high-profile cases, including Lena Dunham's announcement of using a surrogate and the legal battle involving McKenna West, a gestational surrogate who fled to Texas to avoid a requested abortion. In light of this renewed public interest, The Guardian spoke with surrogates across the US to understand their experiences and views on the ongoing surrogacy discourse.
Personal Journeys into Surrogacy
Liggia Spicer, a 34-year-old from upstate New York, was inspired to become a surrogate after learning about a friend who needed one following a cancer diagnosis and hysterectomy. "I probably did about two years of research before I turned to my husband and was like: ‘OK I think I want to do this,’" she shared. Spicer worked with ConceiveAbilities, where she underwent a rigorous screening process that included background checks and psychological evaluations. Most surrogacy programs require that a woman has previously given birth.
ConceiveAbilities also provided her with legal assistance to create a surrogacy contract, which outlines the rights of both the surrogate and the intended parents, covering aspects such as medical expenses and the presence of intended parents during medical appointments and delivery.
The Legal and Ethical Landscape
West's case has sparked discussions about bodily autonomy in surrogacy. She violated her contract by refusing to have an abortion after a congenital heart defect was discovered in the fetus. After fleeing to Texas, where abortion is banned, she gave birth and is seeking conservatorship over the child to influence medical decisions. The US Supreme Court has declined to intervene in her case.











