The process of egg donation has now become a standard method of family
building. A woman of any age can receive an oocyte from another woman
of reproductive age, become pregnant, and deliver a baby. Although so
mewhat less prevalent, gestational surrogacy is becoming more routine.
A woman who has had a hysterectomy or a significant anatomic abnormal
ity of her uterus can retain her child-bearing potential by having her
egg fertilized and transferred into another woman's uterus. However,
despite these procedures' enormous clinical success, far too little th
ought is given to the psychological issues they create for patients an
d society at large. In this article I describe some of the salient psy
chological aspects of egg donation and gestational surrogacy.