Donor egg recipients are asked to select one or more egg donors whom they find suitable. One of the selected egg donors will be offered to a recipient couple upon availability of the egg donor and the completion of all screening. The choice of an egg donor is always made by the donor egg recipient.

A GIVF donor egg coordinator will coordinate the cycles of the egg donor and recipient to accomplish a fresh embryo transfer. Synchronization of cycles includes using a series of medications to facilitate a hospitable uterine environment for transfer of embryos. Viable eggs produced in a single donor cycle are inseminated, and all embryos created belong to the recipient couple. If there are embryos in excess of the number for safe transfer, cryopreservation of additional embryos is available and strongly recommended. Cryopreserved embryos can be used for subsequent attempts at pregnancy, whether or not the fresh transfer is successful, and still produce high rates of success.