All of our surrogates in the USA are American citizens living in different cities. They all undergo a lengthy and rigorous screening process before being accepted in to the program and they must have had at least one healthy baby derived from a successful pregnancy. They are flown to LA for the embryo transfer (to be performed at Western Medical Institute), however during the pregnancy, they live at home with their families and maintain their usual lifestyles. During the first trimester, the pregnancies are monitored by Dr. Kumar from the Western Fertility Institute. After the first trimester, our surrogates are monitored by their personal physicians in their home city. Throughout the pregnancy, the surrogates undergo all the customary pregnancy tests in addition to regularly scheduled blood tests to ensure that they are healthy and the pregnancy is progressing normally and without complications. We recommend that from the time you are matched with your surrogate that you maintain weekly contact vis Skype and/or WhatsApp. This encourages an organic relationship to be formed so when you reach important milestones along the way there is no awkwardness felt by either party.