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Surrogacy in Japan
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Japan is a country that is unique when it comes to surrogacy. Some countries have introduced a clear legal framework and have medical systems in place, but Japan is cautious and silent on surrogacy. Japan stands within a legal grey area when it comes to surrogacy as there are no laws to govern the process which leaves medical professionals, intended parents and surrogates navigating surrogacy at their own risk. It isn’t officially banned, but it also isn’t practised or accepted because there is regulatory ambiguity and cultural views on family, motherhood, and biological ties. Many Japanese citizens who hope to build a family through surrogacy tend to look into more accessible and secure options in other countries. However, in February 2025, a national bill called the Specified Assisted Reproductive Technology Bill was proposed which would formally ban all forms of surrogacy, including international arrangements for Japanese citizens as well as upholding donor anonymity. Although it has not yet become law, it does mark a clear sign of Japan’s intent to restrict surrogacy access. In addition to this, the Japan Society of Obstetrics and Gynecology (JSOG) issued a professional ban in 2003, prohibiting members from engaging in surrogacy. This explains why nearly all Japanese clinics avoid offering these services. On top of this, there was a 2007 Supreme Court ruling in Japan, which recognises only the woman who gives birth as the legal mother, regardless of genetic link, and continues to define parentage in both domestic and international surrogacy cases. This article is going to explore how Japan views and understands surrogacy, and places it in the wider international context of legal, cultural, and ethical considerations.
Surrogacy has been created to assist people or families with help to have a baby of their own when they are experiencing medical difficulties themselves. There are many reasons people turn to surrogacy, whether it is a genetic condition, or biological reason, but it now provides hope to many people around the world. A woman will agree to be a surrogate mother, sometimes known as a gestational carrier, and become pregnant and give birth to a baby for another person or couple.
There are two main types of surrogacy, in particular traditional and gestational surrogacy. Traditional surrogacy is one type which involves a woman using her own oocytes (eggs) to produce a baby making her the biological mother, this type of surrogacy isn’t practised in many locations due to the legalities and emotional complexities that come with it. Gestational surrogacy is the other type of surrogacy where an embryo will be created using the intended parents’ or donors’ own genetic materials, in particular, their oocytes and semen (eggs and sperm) using in-vitro fertilisation (IVF) which is then transferred to the surrogate’s uterus. In this type of surrogacy, the surrogate mother is not genetically related to the child making it used more commonly due to less legal and emotional complications as it tends to have clear legal protection for everyone involved.
The surrogacy laws and views differ in each destination around the world, and are mainly based on the cultural, legal, and ethical beliefs. There are countries that have supportive and greatly regulated systems in place and there are others where surrogacy is prohibited. It’s important for intended parents who are hoping to grow their family via surrogacy understand where it is allowed as it is an essential first step in the journey. Some countries have established clear laws, rules, and regulations for all parties involved, in turn, this allows the process to be carried out both ethically and securely. In this section, it will look at the countries where surrogacy is legal in Europe and Asia, as well as regions that allow commercial arrangements, highlighting the different models and why certain destinations are popular for international surrogacy.
In Europe, the laws in surrogacy are different in each country. Altruistic surrogacy is allowed in the United Kingdom and the Netherlands, which is when the surrogate receives compensation for only the essential expenses during the journey. If she receives any compensation for her time and commitment for the journey, there could be consequences with the law.
Two countries that permit commercial surrogacy are Georgia and Kazakhstan, this includes local and foreign intended parents. In this type of surrogacy, a surrogate will receive compensation for their time and commitment. The laws surrounding surrogacy in these two countries have been designed to protect everyone involved, they make sure the agreements are legal and are able to be enforced if needed in the courts. For this reason, many intended parents from countries where surrogacy is prohibited usually choose places like this.
France, Germany, and Italy are countries that have made surrogacy illegal and if anyone is caught attempting or using a surrogate there, they will face legal issues.
Again, in Asia, the laws are different in each country. For example, India was known to be a destination for commercial surrogacy, but since recent changes to their law, they only allow for Indian heterosexual couples to participate in surrogacy on a voluntary and non-profit basis. International intended parents are not permitted to take part because of the concerns surrounding exploitation and a lack of rules and regulations for foreigners.
Thailand is another country that changed their law to prevent people participating in commercial surrogacy. Married Thai couples can be considered, but they are not allowed to compensate a surrogate beyond the essential expenses of a pregnancy.
Japan doesn’t have clear laws for surrogacy, although, as mentioned, it is not officially banned, there are debates as to whether it is legal or illegal in the country. Most of the Japanese medical groups do not support surrogacy, and clinics tend to not offer surrogacy services.
Japan does not have a clear law about surrogacy. Although it is not officially banned, there is debate about whether it is legal, therefore, preventing institutions from participating.
There are multiple countries which allow commercial surrogacy as it is highly controlled. In these countries, agreements are legally binding and payment to the surrogate for her time and commitment is permitted. Ukraine and Georgia are two choices for international intended parents because of their clear legal systems and cheaper medical services.
In the U.S., some states like California and Illinois have strong legal safeguards for everyone involved allowing commercial surrogacy to operate here. However, the regulations do differ between each state and the whole process can become expensive, sometimes costing more than $100,000 USD.
Colombia and Mexico are open to surrogacy and are currently providing lower costs and flexibility in their programmes, but as the law can develop drastically and change quickly in a short space of time, it’s essential people considering these countries consult with medical professionals or legal experts before entering any agreements in any country.
Surrogacy is banned in some countries, as mentioned, France, Germany, and Italy are amongst these countries. In this section, it will look at the reasons why countries consider or decide against surrogacy as well as the cultural, legal, and moral facts that can or have influenced bans in surrogacy.
The reasons behind surrogacy bans relate to ethical, legal, social issues and views. One of the concerns that is major for many is the risk of women being exploited in circumstances where compensation is involved and whether they will feel forced to be a surrogate because of their own financial situation. Other people see commercial surrogacy as turning babies into products, or treating motherhood as a business deal.
On top of this, there are concerns about the safety of a surrogate mother and a child when the agreements are not documented in official ways or take place across different countries.
The religious and cultural beliefs influence decisions on surrogacy in some countries. If there are traditional communities in a country, the views on surrogacy are seen as being against traditional ways of creating or building a family, leading countries to have strict laws, or completely banning it altogether.
Cultural issues can influence the views on surrogacy including how it is practised. The societies in Asia and Middle East view surrogacy as morally or socially inappropriate, even more so if the surrogate isn’t related to the intended parents.
Surrogacy is usually controversial and ethically questionable in Japan as they have strong traditional views about motherhood and lineage. The public acceptance is relatively low and, as mentioned, most medical institutions will avoid involving themselves. Even though there have been discussions in the public since 2008, lawmakers like Seiko Noda have repeatedly tried to introduce structure.
Until society views surrogacy in a different way by evolving, legal reform is highly unlikely in Japan because of their cultural norms, and all of their concerns contribute to the lack of legislation and support services for using surrogacy.
There are some countries that are considered to be top destinations for surrogacy as they have clear laws, requirements, good ethics, quality medical care, and affordable costs. Ukraine, Georgia, and some U.S. states like California are amongst the top destinations because they have regulations, agreements can be enforced, and the clinics have experience in surrogacy.
In these places, the intended parents will have the opportunity to be considered the legal parents as soon as the baby arrives in the world. The surrogate mothers are highly protected by the law as are the intended parents, and in turn it avoids legal, medical, and emotional complications throughout the journey.
There has been increased interest in countries like Mexico, Colombia, and Kazakhstan. These countries do offer a less expensive option, but it’s highly important to speak with legal experts before proceeding in these countries for clarity.
Choosing a destination depends on factors like where the intended parents are based, the amount of money they can afford to spend, and how safe they want the legal process to be.
Japanese citizens considering surrogacy in another country must be aware of the importance to make sure it is fully legal and regulated in their chosen country. Additionally, the country they choose should be able to have their names listed on the birth certificate automatically, and not the surrogate to avoid any issues. This step can make a meaningful difference later on when they need to establish legal parentage and secure the baby’s citizenship upon returning to Japan, without this, families could face longer legal processes and emotional strain in trying to bring their baby home.
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The medical procedures and personal agreements aren’t the only points to consider in surrogacy, the legal side also has to be considered as there can be long lasting consequences if the legalities are not followed. The law plays an important role in the outcome of a surrogacy journey, and without legal protection, intended parents could face challenges they were unaware of. In this section, it will look at how the presence or absence of laws can affect those involved, using real-world examples from countries with different approaches to surrogacy.
In Japan, there is no national law about surrogacy, but as mentioned, in 2003, a medical group called the Japan Society of Obstetrics and Gynecology (JSOG) prohibited their members from assisting in surrogacy. The Health Ministry then followed on from this and recommended a ban on surrogacy in the country, although this is yet to be confirmed this is the reason most clinics will not offer surrogacy services. If children are born through surrogacy outside of Japan, people may experience issues with obtaining citizenship for the child, registering their birth, or even proving who the legal parents are.
In Ukraine, surrogacy has been legal since 2002 due the Family Code and the Ministry of Health’s order on assisted reproductive technologies as this regulates the practice and clarifies the rights and responsibilities of all the parties involved. The birth certificate will have the intended parents’ names stated, and the contracts will be legally valid in the country.
These two examples show how having clear laws or not can greatly affect the legal safety and the rights of both the children and the intended parents in surrogacy cases.
Some destinations allow surrogacy for same-sex couples, however, it can depend on the laws in each place. In some U.S. states, same-sex couples can use surrogacy and they will be recognised as the legal parents when the baby comes into the world.
Same-sex marriage is illegal in many parts of Asia, inclusive of Japan, preventing people who are in same-sex relationships using surrogacy. So there isn’t a legal way to support same-sex surrogacy arrangements.
Same-sex couples usually explore other countries where they will be allowed to use surrogacy as they are more accepting, but they tend to have to deal with legal steps which can be complicated in order to make sure they are recognised as the legal parents, and ensure their child will get citizenship when they return to their home country.
The people and couples who are unable to have their own child will find that surrogacy can change their lives dramatically. It gives them the chance to have a child biologically related to them involving a woman helping them along the way by having the baby for them. This creates an emotional benefit when these people have attempted other options and not been successful.
In surrogacy, and just like in Japan, there can be issues surrounding surrogacy as the surrogate mother and intended parents can face challenges like how much control the surrogate will have medically and with the baby, what amount of compensation she will receive, or who will be the legal parents when the baby arrives. This is mainly because there aren’t any clear rules in Japan. Another concern that has been raised in Japan is the possibility of a child growing up with emotional issues about their identity due to being born via surrogacy.
If surrogacy is to be safe and secure, it needs to have good medical care, strong and precise laws, and provide support for everyone mentally. These issues show why there should be clear guidelines and teamwork between countries to allow everyone to be protected.
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