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What is Altruistic Surrogacy? (And How Does It Work?) Altruistic surrogacy is a unique and selfless approach to assisted reproduction where the surrogate mother offers her gestational services without receiving any monetary compensation. Instead of financial gain, altruistic surrogates find motivation in the desire to help others build families. This altruistic act stems from a deep sense of compassion and the willingness to contribute to someone else’s happiness.