Pre-surrogacy counseling at PECNA is specialized and goes beyond a typical counseling session. It focuses on the unique emotional, psychological, and logistical aspects of third-party reproduction. Unlike general counseling, which addresses broader emotional concerns, pre-surrogacy counseling prepares intended parents for the complexities of working with a gestational carrier. This includes exploring expectations around the surrogacy process, navigating the emotional impact of not carrying the child, managing relationships with the gestational carrier, and preparing for legal and ethical challenges. The session is designed to ensure intended parents are fully informed, emotionally prepared, and ready to engage in a collaborative and supportive relationship with their gestational carrier, while maintaining healthy boundaries throughout the journey.