What if one case manager guided both the surrogate and the intended parents—from the first profile exchange to baby photos years later? We sit down with Nina Simmons, case manager and clinical support manager at Northwest Surrogacy Center, to explore how a unified model reduces miscommunication, deepens trust, and creates a steadier surrogacy journey. Nina pulls back the curtain on the real work behind the scenes: coordinating clinics and legal timelines, keeping everyone informed, and offering trauma-informed support when emotions run high.

We talk about the head-and-heart balance that keeps a match on track: the administrative structure that provides safety and the relational care that builds confidence. Nina shares practical ways to set expectations early, from communication preferences to boundary setting, and explains how transparent group conversations help resolve friction before it grows. She also addresses common challenges—loss of control for intended parents, boundary fatigue for surrogates—and shows how predictability and clear options restore a sense of agency. IVF is powerful but not absolute; offering choice, clarity, and steady presence helps everyone breathe through the unknowns.

You’ll also hear how the pandemic reshaped matching and support—Zoom meetings, online groups, and a renewed desire for in-person connection—and why ethical guardrails matter when choosing an agency. Nina’s guidance on vetting compensation packages, reading the fine print on lost wages and insurance, and understanding state-by-state legal pathways is essential listening for anyone considering surrogacy. If you’re searching for a model that honors both people and process, this conversation delivers practical insights and real hope.

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