Adoption and surrogate pregnancy are the two most realistic options currently available for millions of couples unable to carry a pregnancy to term. In the past decade, international adoption has become increasingly popular for those who wish to avoid the wait of adopting domestically. Yet because of unique political, economic, and cultural circumstances within each country, international adoption has its set of legal controversies and difficulties. Surrogate pregnancy is a relatively new and inherently complicated alternative. With few regulations to guide the process, countries struggle to address its ethical and moral questions, in addition to the legal, political, cultural, and environmental ramifications.