If you don’t have someone you know willing to carry a child for you and you can’t pay the exorbitant price of an agency. There are very few options left. One of them is to go through an agency abroad in a country that would be far less expensive. Surrogacy in a place like this can be exploitative. The women may feel it is necessary to do for the money. In order to aid their own survival or that of their family. Intended parents are generally not present for much. You can forget being there for the birth of your child. And I’ve read of many cases where the communication was sparse at best throughout the pregnancy, in part due to the language barrier. In addition, the reality of obtaining a passport and traveling back home overseas with a newborn seems staggering– a 14-hour car ride in our own country was hard enough.