Section4
The Surrogacy (Regulation) Act, 2021

Regulation of surrogacy and surrogacy procedures

In force From 25 Jan 2022 Act 47 of 2021 As on 15 Oct 2026

Act 47 of 2021 Ministry Health and Family Welfare Enacted 25 Dec 2021 In force 25 Jan 2022 Cited by 8 provisions Instruments 1

Section 4 of the Surrogacy (Regulation) Act, 2021 deals with regulation of surrogacy and surrogacy procedures. On and from the date of commencement of this Act,--- (i) no place including a surrogacy clinic shall be used or cause to be used by any person for conducting surrogacy or surrogacy procedures, except for the purposes specified in clause (ii) and after satisfying all the conditions specified in claus The Act came into force on 25 Jan 2022.

On and from the date of commencement of this Act,---

(i) no place including a surrogacy clinic shall be used or cause to be used by any person for conducting surrogacy or surrogacy procedures, except for the purposes specified in clause (ii) and after satisfying all the conditions specified in clause (iii);

(ii) no surrogacy or surrogacy procedures shall be conducted, undertaken, performed or availed of, except for the following purposes, namely:

(a) when an intending couple has a medical indication necessitating gestational surrogacy:

Provided that a couple of Indian origin or an intending woman who intends to avail surrogacy, shall obtain a certificate of recommendation from the Board on an application made by the said persons in such form and manner as may be prescribed.

Explanation.---For the purposes of this sub-clause and item (I) of sub-clause (a) of clause (iii) the expression "gestational surrogacy" means a practice whereby a surrogate mother carries a child for the intending couple through implantation of embryo in her womb and the child is not genetically related to the surrogate mother;

(b) when it is only for altruistic surrogacy purposes;

(c) when it is not for commercial purposes or for commercialisation of surrogacy or surrogacy procedures;

(d) when it is not for producing children for sale, prostitution or any other form of exploitation; and

(e) any other condition or disease as may be specified by regulations made by the Board;

(iii) no surrogacy or surrogacy procedures shall be conducted, undertaken, performed or initiated, unless the Director or in-charge of the surrogacy clinic and the person qualified to do so are satisfied, for reasons to be recorded in writing, that the following conditions have been fulfilled, namely:---

(a) the intending couple is in possession of a certificate of essentiality issued by the appropriate authority, after satisfying itself, for the reasons to be recorded in writing, about the fulfilment of the following conditions, namely:---

(I) a certificate of a medical indication in favour of either or both members of the intending couple or intending woman necessitating gestational surrogacy from a District Medical Board.

Explanation.---For the purposes of this item, the expression "District Medical Board" means a medical board under the Chairpersonship of Chief Medical Officer or Chief Civil Surgeon or Joint Director of Health Services of the district and comprising of at least two other specialists, namely, the chief gynaecologist or obstetrician and chief paediatrician of the district;

(II) an order concerning the parentage and custody of the child to be born through surrogacy, has been passed by a court of the Magistrate of the first class or above on an application made by the intending couple or the intending woman and the surrogate mother, which shall be the birth affidavit after the surrogate child is born; and

(III) an insurance coverage of such amount and in such manner as may be prescribed in favour of the surrogate mother for a period of thirty-six months covering postpartum delivery complications from an insurance company or an agent recognised by the Insurance Regulatory and Development Authority established under the Insurance Regulatory and Development Authority Act, 1999 (41 of 1999);

(b) the surrogate mother is in possession of an eligibility certificate issued by the appropriate authority on fulfilment of the following conditions, namely:---

(I) no woman, other than an ever married woman having a child of her own and between the age of 25 to 35 years on the day of implantation, shall be a surrogate mother or help in surrogacy by donating her egg or oocyte or otherwise;

(II) a willing woman shall act as a surrogate mother and be permitted to undergo surrogacy procedures as per the provisions of this Act:

Provided that the intending couple or the intending woman shall approach the appropriate authority with a willing woman who agrees to act as a surrogate mother;

(III) no woman shall act as a surrogate mother by providing her own gametes;

(IV) no woman shall act as a surrogate mother more than once in her lifetime:

Provided that the number of attempts for surrogacy procedures on the surrogate mother shall be such as may be prescribed; and

(V) a certificate of medical and psychological fitness for surrogacy and surrogacy procedures from a registered medical practitioner;

(c) an eligibility certificate for intending couple is issued separately by the appropriate authority on fulfilment of the following conditions, namely:---

(I) the intending couple are married and between the age of 23 to 50 years in case of female and between 26 to 55 years in case of male on the day of certification;

(II) the intending couple have not had any surviving child biologically or through adoption or through surrogacy earlier:

Provided that nothing contained in this item shall affect the intending couple who have a child and who is mentally or physically challenged or suffers from life threatening disorder or fatal illness with no permanent cure and approved by the appropriate authority with due medical certificate from a District Medical Board; and

(III) such other conditions as may be specified by the regulations.

Section 4, The Surrogacy (Regulation) Act, 2021 (Act 47 of 2021).

Cross-references

Extracted from the operative text of the enactments themselves. Every destination below exists in our corpus.

Related judgements & precedents

These are some judgments that construed this section, and hold precedence value. They hold authority on how to read, interpret and use this section.

  1. Poornima Sreeraghavan v. Union of India

    High Court 07 Nov 2024 Persuasive (High Court) Reportable WP 29261/2024 (Karnataka HC) Final Order 07.11.2024 / 2024:KHC:46179

    Court's Decision & Legal Precedent

    Final Order order-1.pdf body dated 7 November 2024 matches index (markdown in case brief; automated cache warning outweighed by explicit body date). Karnataka HC (Hemant Chandangoudar J.): intending couples beyond s.4(iii)(C)(I) age limit remitted to State Surrogacy Board/Appropriate Authority applying H. Siddaraju triple-test approach for eligibility certificate. Map Surrogacy s.4 companion on age-limit administration.

    On this section: Surrogacy Act s.4(iii)(C)(I) age eligibility: over-age intending couples remitted to State Surrogacy Board/Appropriate Authority on Siddaraju triple-test lines (Poornima Sreeraghavan).

    Read the full order on eCourts India

  2. Priya Dharshini v. State of Tamil Nadu

    High Court 31 Mar 2023 Persuasive (High Court) Reportable WP(MD) 4714/2023 (Madurai Bench, Madras HC) Final Order 31.03.2023

    Court's Decision & Legal Precedent

    Final Order order-1.pdf 2023-03-31 DATE VERIFIED (markdown in case brief). Madras HC Madurai (G.R. Swaminathan J.): Surrogacy (Regulation) Act 2021 s.4 — District Medical Board (Explanation to s.4(iii)(a)(i)) must be constituted; age limits on certification day; bureaucratic delay cannot frustrate statutory eligibility; directed State to constitute Boards statewide and decide petitioners' eligibility within four weeks. Map Surrogacy s.4.

    On this section: Surrogacy Act s.4 regulation of surrogacy procedures: District Medical Board under Explanation to s.4(iii)(a)(i) must be constituted; eligibility/essentiality applications decided before age limits expire (Priya Dharshini).

    Read the full order on eCourts India

The holding above is the ratio decidendi as extracted from the judgment by eCourts India, reproduced unaltered — it is a rendering of the court's reasoning, not a substitute for its words. Read the order itself before relying on it.

Judgments citing this section

These may be obiter dicta or a precedent, for you to study. These are the judgments where this section is quoted.

  1. High Court 22 Jan 2025 HCBM030022242025

    … to hereinabove of the order dated 21st October, 2024 passed in the said writ petition implies / covers the relevant prayer sought in this application, we propose to allow the application as the medical institute at which the applicants are undergoing IVF treatment have sought for a specific order in terms of Section 4(iii)(a)(II) of the Surrogacy (Regulation) Act, 2021. For better appreciation, relevant portion of Section 4 is reproduced below :- > "4. Regulation of surrogacy and surrogacy procedures. - On and from the date of commencement of this Act, - (i) ... (ii) ... (iii) no surrogacy or surrogacy procedures …

    Read this order on eCourtsIndia

  2. High Court 25 Jul 2022 KLHC010376262022

    … (3) The petitioners along with the surrogate mother shall appear before the Judicial Magistrate of the First Class, Kodungallur and obtain an Order of Parentage and Custody. (4) The petitioners shall ensure that an insurance is taken for a period of 36 months as contemplated under Section 4 (iii)(a) (III) of the Surrogacy (Regulation) Act, 2021. (5) The petitioners shall make available the Certificate of Medical and Psychological Fitness of the surrogate mother. (6) The 7th respondent shall explain to the surrogate mother all known side effects of the procedure in a language known to her and …

    Read this order on eCourtsIndia

Made under this section, and citing it

1 instrument states that it was made under this provision — the power to make it comes from here, so a change to any of them changes what this section requires in practice. Newest first.

All subordinate legislation

Questions about Section 4

What have the courts held on Section 4 of the Surrogacy (Regulation) Act?

Poornima Sreeraghavan v. Union of India (07 Nov 2024) is the leading judgment on this section among those set out below: Surrogacy Act s.4(iii)(C)(I) age eligibility: over-age intending couples remitted to State Surrogacy Board/Appropriate Authority on Siddaraju triple-test lines (Poornima Sreeraghavan). Another 1 judgment on this section is set out below. They run from 2023 to 2024.

How do I find court cases under Section 4 of the Surrogacy (Regulation) Act?

In judgments and charge sheets this section is written several ways, and each form finds a different set of orders. These search the full text of every order eCourtsIndia holds, best matches first: Surrogacy (Regulation) Act 4, section 4 Surrogacy (Regulation) Act, section 4 of the Surrogacy (Regulation) Act. People searching for it also type surrogacy regulation act 2021 section 4. Each opens the full list of orders on eCourtsIndia, where it can be narrowed by court, year and outcome. 2 reported judgments on this section are set out on this page, beginning with Poornima Sreeraghavan v. Union of India (07 Nov 2024).

What should I read with Section 4 of the Surrogacy (Regulation) Act, and has it changed?

8 other provisions in this corpus refer back to it. The rules and notifications made under it are where it actually bites, and there is one: most recently The Surrogacy Regulations, 2023 (2023).

When did Section 4 of the Surrogacy (Regulation) Act come into force?

Section 4 of the Surrogacy (Regulation) Act, cited as Surrogacy (Regulation) Act 4, came into force on 25 Jan 2022, having been enacted on 25 Dec 2021. It is in force as at the date shown on this page.

Other sections of this Act

Source and method. Compiled from the enactments of Parliament and of the State legislatures as published on India Code, and republished together with commentary and other original matter under section 52(1)(q)(ii) of the Copyright Act, 1957. Structured, cross-referenced and maintained by eCourtsIndia. Text as in force on 15 Oct 2026. This page is not a substitute for legal advice.