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For more than ten years, gestational surrogacy in Uruguay existed in a state of legal latency: provided for by law, carefully regulated as an exception, yet without a single birth to make it real.
That situation changed with the arrival of the first baby born under this framework – an event that activated, for the first time, the legal, clinical, and administrative structure designed to protect all parties. And, as often happens when a norm encounters its first concrete case, what emerged was a mix of institutional competence, professional creativity, and gaps that require urgent attention.
A brief overview of the case
The intended mother had Rokitansky syndrome, also known as Mayer-Rokitansky-Küster-Hausera (MRKH) syndrome, a congenital malformation that makes pregnancy impossible. Her only viable path was egg donation combined with gestational surrogacy. The surrogate was her sister, in line with legal requirements in Uruguay. Using the intended father's sperm and donor eggs, embryos were created, one of which was transferred after completing the full authorisation process.
The pregnancy progressed without complications, with the intended parents involved throughout, and ended...