What about premature ovarian failure and azoospermia? Sperm donation? Egg fertilization? During IVF practice, patients often ask: I voluntarily requested to use my sister’s eggs and my sister voluntarily donated them to me, why can’t I? I would like to introduce you to the ethical issues related to IVF technology. Ethical issues in IVF With the implementation of assisted reproductive technologies such as human IVF, it has brought a blessing to the majority of infertile couples, but at the same time, it has also brought many social ethical and moral issues. Driven by interests in some regions of China, some illegal surrogacy agencies, beautiful egg banks and celebrity sperm banks have been birthed. In order to prevent confusion in the management of assisted reproductive technology institutions, the state has introduced a series of laws and regulations to protect the interests of the majority of patients from being infringed upon. It is helpful for couples who want to treat infertility to understand the relevant ethical and legal knowledge. 1. Are all hospitals qualified to do IVF? The state explicitly stipulates that assisted human reproduction technology must be performed in approved and registered medical institutions. The state has strict requirements for the personnel, technology and equipment of medical institutions applying to perform assisted human reproduction technology, and then only after discussion and inspection by the health administration and authoritative experts can they be officially approved. For patients who want to do IVF, they must choose a qualified medical institution to ensure their interests. 2. Can everyone do IVF? IVF is not available to everyone who comes to the clinic. First of all, you need to have the indications for IVF, and you need to have the ID card, marriage certificate and fertility service certificate of both parties, and only infertile couples who meet the relevant provisions of national family planning can undergo assisted reproduction treatment. 3.Can I freely choose the sex of my child for IVF? Gender selection is only allowed by law when genetics suggests that a couple may have a child with a gender-related genetic disease. Gender confirmation and determination without medical indication should be avoided, and only a very few reproductive centers are qualified to implement this technology. 4. Can the source of donor sperm and eggs be chosen on a self-residential basis? The source of sperm for artificial insemination or IVF can only be the human sperm bank approved by the state. Human sperm banks have strict regulations on the management of human sperm banks. They will conduct strict health screening of sperm donors, establish sperm donor files, computerize the details of sperm donors and sperm use, and keep the confidentiality of sperm donors and recipients. The donor and recipient do not know each other’s identity, and will only know basic characteristics such as blood type, height and weight. Both spouses are required to sign an informed consent form and have the same ethical, virtuous and legal rights and obligations to the children born from assisted reproduction with sperm donation. The regulations issued by the State Ministry of Health clearly state that egg donors are limited to patients undergoing IVF treatment who have volunteered to donate, and cannot be their relatives or friends. There is a strict double-blind principle between the egg donor and the egg recipient. 5. Is surrogacy legal in China? China’s law prohibits medical institutions and medical personnel from performing any form of surrogacy techniques.