Intercountry adoption has declined significantly in the last five years. It is not as feasible an option anymore for building a family with a very young child or infant from Guatemala.. However, global surrogacy appears to be meeting the need for some individuals and couples. Contracting surrogacy with a woman in another nation is explored, focusing on vulnerable women. Specifically, surrogacy in India and Guatemala is discussed with concerns about informed consent in the context of poverty and, in the case of Guatemala, violence against women and human trafficking. Technological advances and globalization are also considered asthe authors pose critical questions about the practice of global surrogacy. Implications for socialworkers and human rights defenders are also posed, underscoring the importance of awareness to this emergent global practice.