Surrogacy serves all sorts of people, mostly couples who don't have a working womb between them. But, as Jenny Kleeman reports in the Guardian, it also can serve those whose need isn't medical. She interviews the controversial fertility doctor Vicken Sahakian, who is  known among other things for having helped a Spanish woman become the oldest known person to give birth, at 67.  Here's a link with some excerpts from the excellent, long article (read it all for more about the clients and the surrogates).

'Having a child doesn’t fit into these women's schedule': is this the future of surrogacy? 

"His clients are straight, gay, young and old, and they come to him from across the globe, particularly from China, or parts of Europe where surrogacy is either illegal or very tightly regulated. In the UK, surrogacy is legal, but surrogates can claim only expenses for carrying a child for another person. California law allows surrogates to earn a profit, and upholds the rights of intended parents over anyone else who is involved in the creation of their babies. It’s given the state a reputation as the most surrogacy-friendly place in the world.
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"And as the range of fertility options open to clients has diversified, so have their requests. Now, a growing number of women are coming to Sahakian for “social” surrogacy: they want to have babies that are biologically their own, but don’t want to carry them. There is no medical reason for them to use a surrogate; they just choose not to be pregnant, so they conceive babies through IVF and then hire another woman to gestate and give birth to their baby. It is the ultimate in outsourced labour.
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"Five years ago, Sahakian says he would preside over a handful of social surrogacy cases a year; now he sees at least 20. “More and more every year. ... It costs $150,000 to have a baby this way. “If social surrogacy was more affordable, more women would be doing it, absolutely. There’s an advantage to being pregnant, the bonding, I understand that, and from experience I can say that most women love to be pregnant. But a lot of women don’t want to be pregnant and lose a year of their careers.”
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"The typical candidates are models and actors who are doing well but haven’t yet made their name. “They tell me point blank, ‘If I get pregnant, I will lose my part. I work, I don’t have time because of work. I model, I act, I look good like this and I don’t want to disfigure my body.’”
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"The official guidelines set out by the American Society for Reproductive Medicine (ASRM) say that gestational carriers – surrogates who carry babies conceived through IVF, with eggs from another woman – should be used only when there is a medical need. But Sahakian has no qualms about “defining medical reasons broadly”, as he puts it. “What’s the end result here? Somebody wants to be a parent. I’m facilitating that. I understand that it’s controversial, it’s borderline unethical for some people, but put yourself in the shoes of a 26-year-old model who is making her living by modelling swimsuits. Tell me something – is it that unethical, to say let’s not destroy this woman’s career?”
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"Sahakian has a reputation for pushing boundaries, and he relishes it: it’s given him a notoriety that drives his business. In 2001, he helped the oldest woman on record in France, Jeanine Salomone, conceive using donor eggs and give birth at 62. A scandal erupted in France – where both surrogacy and artificial insemination of post-menopausal women are illegal – when it emerged that Jeanine’s brother, Robert, was the biological father of the son she gave birth to. ...
The press descended on Sahakian, who said the siblings had presented themselves in his consulting room as a married couple [they had the same last names], and that Jeanine had lied about her age. "

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