Fertility Clinics in Canada

Canada operates one of the most ethically regulated fertility sectors in the world, governed by the Assisted Human Reproduction Act (AHRA) of 2004. Unlike many countries, Canada prohibits commercial payment for gametes and surrogacy — all egg donation, sperm donation, and surrogacy arrangements must be altruistic-only, with only documented out-of-pocket expenses reimbursable. This model prioritises donor welfare and long-term transparency, and several provinces are moving toward mandatory identity-release donor registries, meaning donor-conceived individuals may have the right to identifying information upon adulthood.

The Canadian fertility landscape is distinctly LGBTQ+ inclusive, with same-sex couples and single parents fully supported across all major clinics. Universal healthcare covers many diagnostic procedures, but IVF funding varies sharply by province: Ontario funds one IVF cycle per person under its provincial health program (OHIP+), while other provinces such as Quebec have reduced or eliminated prior subsidy programs. Out-of-pocket, a full IVF cycle typically costs CAD $10,000–$20,000, with egg freezing ranging from CAD $8,000–$15,000. The major fertility hubs are Toronto, Vancouver, and Montreal, each hosting internationally accredited clinics with strong success rates, on-site genetic testing (PGT-A/PGT-M), and comprehensive oncofertility programs.