The obstetrician–gynecologist has an ethical responsibility to review the risks and benefits of surrogacy fully and fairly with couples who are considering surrogacy arrangements. The obstetrician who is consulted by a pregnant woman who is participating in a surrogacy arrangement owes her the same care as any pregnant woman and must respect her right to be the sole source of consent for all matters regarding prenatal care and delivery. The gynecologist or specialist in reproductive endocrinology who performs procedures required for surrogacy should be guided by the same ethical principles aimed at safeguarding the well-being of all participants, including the future child.