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Gestational surrogates may struggle with postpartum depression and issues with relinquishing the child to their intended parents. Fertility tourism for surrogacy is driven by legal restrictions in the home country or the incentive of lower prices abroad. In , Thailand banned commercial surrogacy, and restricted altruistic surrogacy to Thai couples. This could result in a child being born without citizenship. Journal of Human Reproductive Sciences. The most commonly reported motivation given by gestational surrogates is an altruistic desire to help a childless couple. The researchers concluded that the surrogacy families continued to function well.

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