This concluding article, building from observations of the industry from 2008 onwards, examines the practices of commercial and altruistic surrogacy in India. Commercial surrogacy is built on atomized market relationships, where exchanges are mediated by money. The author shows how exploitation is at the heart of production in commercial surrogacy. Altruistic surrogacy is built on gift-like giving between social actors engaged in ongoing exchange relationships. While these sorts of exchanges might seem egalitarian, the author argues that domination is at the heart of exchange in altruistic surrogacy. The article concludes that banning all forms of surrogacy is not the answer, and provides policy recommendations that do not eradicate, but ameliorate exploitation and domination.

这篇结论文章基于2008年以来的行业观察，探讨了印度商业和利他代理的做法。商业代理权建立在原子化的市场关系上，在这种关系中，交易是由金钱来调节的。作者展示了剥削是商业代孕中生产的核心。利他的代孕建立在从事持续交流关系的社会参与者之间的礼物般的赠予之上。尽管这些交流似乎是平等的，但作者认为，利他主义代孕是交流的核心。文章得出结论，禁止一切形式的代孕不是解决之道，并提供了不能根除而是改善剥削和统治的政策建议。