How does surrogacy work in South Africa and how does it affect the child? Surrogacy in South Africa, governed by strict surrogacy law in South Africa, requires court approval under the Children's Act 38 of 2005. The surrogacy in South Africa law process involves legal agreements, psychological evaluations, and medical assessments to ensure the well-being of all parties involved. A key focus of surrogacy law in South Africa is determining how does surrogacy affect the child, c