• According to the American College of Obstetricians and Gynecologists (ACOG), the main arguments against surrogate motherhood are based on the harm it could produce. These include potential physical and emotional harm that pregnancy may bring to the surrogate mother herself, possible emotional harm to the child that is born, and impending harm to the surrogate's existing children.

• If no legal agreement exists or the surrogate mother changes her mind and decides to dispute the agreement, a difficult custody battle may ensue.

• Because of the hormonal changes of pregnancy and the associated emotions and mood swings, some people believe that the surrogate cannot possibly understand the implications of giving up her child until after the birth has occurred.

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