On the map of overseas assisted reproduction, Georgia and Ukraine were once two popular options on the Eastern European route: both countries offered similar prices, had well-defined legal frameworks, and reasonable flight distances. However, for families planning to use these services today, what was possible in the past is no longer relevant. This article analyzes the current situation in both countries from five perspectives. The conclusion is clear: when choosing a destination, what matters most is whether it’s safe, legal, and feasible to complete the entire process. Prices and technology should be considered within this context.

1. Legal Stability: First, assess the current situation, then refer to past regulations.

The laws related to assisted reproduction never remain static. They can change over time depending on political and policy developments. Both countries have their own unique legal frameworks. But the key to comparison shouldn’t lie in outdated laws, but rather in three practical issues that are currently relevant:

• Is it still possible to receive international patients? In times of war, during policy changes, or during debates over legislation, situations where “law prohibits it, but practice allows it” can occur. • Are contracts enforceable? When disputes arise, whether the local judicial system can handle and enforce them is a crucial criterion for assessing legal stability. • Are cross-border procedures functioning smoothly? Is notarization, certification, and embassy/consulate processes working as expected?

Note: Many online guides are written before any changes in the situation. Past experiences are not always reliable. Before traveling to any destination, it’s important to rely on current information. Check with the institution about the latest policies and procedures, rather than relying on information from two years ago.

2. Costs: Structure matters more than numbers.

Traditionally, both countries are cost-effective destinations on the European route. The cost structure is similar: egg retrieval costs are relatively low, while programs involving egg donation or third-party participation in pregnancy tend to be more expensive. The main expenses include compensation, screening, and legal services, rather than medical treatment itself.

Therefore, when comparing quotes between the two countries, it’s better to check the details rather than just the numbers. Does the quote include all necessary services? How are screenings priced? How are frozen embryos charged? What are the costs if the procedure fails? A detailed list of included and excluded services is more trustworthy than a seemingly low overall price. In terms of costs, the real differences between the two countries often lie not in the country itself, but in which quote you receive.

3. Technical Level: Choosing an institution is more important than choosing a country.

Both countries have well-established reproductive centers. IVF, ICSI, and PGT can be performed at leading institutions. There isn’t much difference in technical level between the two countries. What really makes a difference is the laboratory equipment and experience of individual clinics. This includes quality control systems in embryo laboratories, hardware such as incubators, genetic testing capabilities (whether self-provided or outsourced), and the involvement of doctors at critical stages of the process.