An unsuccessful transfer is not a surrogate “failure”
I have been sitting with the way we talk about unsuccessful transfers in surrogacy spaces, especially the way so many of us immediately jump to the term, “failed.”
Not, “The transfer did not work.” Not, “This embryo did not implant.” Not even, “We got devastating news.” We say, “I feel like I failed my intended parents.”
And I get it
We are the ones taking the medications. We are the one showing up for every monitoring appointment, changing our schedules, trusting our bodies, and carrying the emotional weight of knowing that someone else is hoping for a child on the other side of all of this. When a transfer does not work, it can feel impossible not to look inward and wonder what we did wrong.
Was I late for a shot? Did I move around too much? Should I have rested more? Did I eat something I should not have? Did I travel too soon? Was I too stressed? Did my body just not do what it was supposed to do?
That spiral is real. And it can be brutal.
But an unsuccessful transfer is not a moral failing. It is not proof that you were careless. It is not evidence that you did not care enough, sacrifice enough, or follow the protocol closely enough. It does not mean your body betrayed anyone.
There are so many things involved in whether a transfer works that are outside of a surrogate’s control. Embryo quality, genetics, development, lab variables, timing, and biology can all play a role. A surrogate can do everything exactly as instructed, have a great lining, take every medication on time, and still receive a negative beta.
That does not make her a failure.
We can acknowledge that it hurts. We can hold space for the grief, the disappointment, and the complicated feelings that come with knowing intended parents are hurting too. But I wish we would stop placing the entire outcome of a transfer on the person carrying the medications and showing up with her body.
An unsuccessful transfer is an unsuccessful transfer. It is not a measure of your worth as a surrogate.