Your first step depends on your situation. If surrogacy is your only option (for example, a hysterectomy), then your first step is a consultation with SSA. Your second step is either a consultation with your IVF physician or a meeting with the surrogate with whom you will be working, depending on your preference. If you are not sure that surrogacy is the appropriate choice for you medically, then you should first have a consultation with your doctor. SSA also provides counseling on an hourly basis for helping you work through your decision as to which option is best for you and your family and dealing with the emotional issues involved in infertility.