Family members as gamete donors or gestational carriers: an Ethics Committee opinion

The use of adult intrafamilial gamete donors and gestational surrogates is generally ethically acceptable when all participants are fully informed and counseled, but consanguineous arrangements or ones that simulate incestuous unions should be prohibited. Adult childto-parent arrangements require caution to avoid coercion, and parent -to -adult child arrangements are acceptable in limited situations. Programs that choose to participate in intrafamilial arrangements should be prepared to spend additional time counseling participants and ensuring that they have made free, informed decisions. This document replaces the document of the same name, last published in 2017. (c) 2024 by American Society for Reproductive Medicine.