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Gestational surrogacy, in which an infertile couple contracts with a woman to carry a foetus that the intended parents will raise, increases worldwide, and offers a route to parenthood for individuals and couples who otherwise have limited options. However, the situation in Denmark at present is that surrogacy with the help of healthcare professionals is illegal, and international adoption is no longer available. This review gives an overview of the legal situation of surrogacy in Denmark, the impact of the legislation, and medical issues to be aware of as healthcare professionals in the future., (Published under Open Access CC-BY-NC-BD 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/.)

Infertility and its treatment are severe, chronic, low-control stressors. Among women unsuccessful treatment is associated with increased risk of developing depressive symptoms. Among men infertility is associated with more negative emotional responses. Lifelong involuntary childlessness is associated with reduced mental well-being. It is recommended in the future to integrate mental health professionals at fertility clinics in Denmark in order to secure that also the psychosocial consequences of infertility and fertility treatment are taken care of with the highest professional standard based on scientific knowledge within this field.

Currently 4% of the Danish national birth cohort is born after in vitro fertilisation techniques and almost 40% of these children are twins. In this register-based national cohort study, twins from assisted conception (n = 3393) had a similar risk of neurological sequelae and cerebral palsy as their naturally conceived peers (n = 10.239) and assisted conceived singletons (n = 5130). Further children born after intracytoplasmic sperm injection (ICSI) had the same risk of neurological sequelae as children born after conventional IVF.