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British Fertility Society survey of all licensed clinics that perform surrogacy in the UK.

This survey was performed on the 113 clinics that hold a licence with the Human Fertilisation and Embryology Authority (HFEA) and offer either assisted conception or donor insemination in the UK. Each clinic was asked whether it performs surrogacy (either straight or IVF) and how many cycles involving surrogacy were carried out per year. They were asked to state the main reasons for patients requiring surrogacy, the charges made and reasons given for not performing surrogacy. Clinics that perform surrogacy were also asked if they had any particular problems and what they felt the policy of the BFS should be towards surrogacy. The views expressed here are from the providers of surrogacy within the context of regulated clinics. Most clinics that perform surrogacy perform IVF surrogacy and very few perform straight surrogacy with the insemination of spermatozoa into the surrogate host. It has to be stressed that straight surrogacy performed in the privacy of people’s homes is not controlled or performed by fertility clinics. The views of Childlessness Overcome by Surrogacy (COTS) were also sought. This organization has made it clear that it wishes to be seen as an introduction agency and feels strongly that there needs to be tighter regulation within the country with respect to surrogacy. It would like greater support from medical practitioners who, through the facilities of fertility clinics, can provide appropriate medical support, as well as counselling by trained counsellors. Of the 113 clinics that were surveyed, 63 replied. Of these, 25 perform surrogacy and 38 do not. Those that did not reply were each telephoned and asked whether or not they perform surrogacy. A response was obtained from every clinic in the country. Those additional clinics that perform surrogacy were sent another questionnaire and a further four replied. Therefore, a total of 29 clinics perform surrogacy and full written reports were received from 25 (Table 1).