There is no requirement that intended parents attend any appointments in person, but many intended parents try to attend at least a few important appointments in person and most surrogates appreciate that.  Many intended parents will attend the medical screening appointment and embryo transfer procedures. Some will also attend the first ultrasound and the anatomy scan that occurs in the middle of the pregnancy. If intended parents travel to their surrogate prior to delivery, they also often attend the final prenatal appointments. If intended parents cannot attend in person, there is also sometimes the option to attend by phone or videocall, depending on the rules of the medical provider.