IN THE SUPREME COURT OF TENNESSEE
AT NASHVILLE
April 15, 2005 Session
Heard at Pulaski1
IN RE C.K.G., C.A.G., & C.L.G.
Appeal by permission from the Court of Appeals, Middle Section
Juvenile Court of Williamson County
No. 38410 Lonnie R. Hoover, Judge
No. M2003-01320-SC-R11-CV - Filed October 6, 2005
This controversy involves a maternity dispute. An unmarried, heterosexual couple had three children
by obtaining eggs donated from an anonymous third-party female, fertilizing the eggs in vitro with
the man’s sperm, and implanting the fertilized eggs in the woman’s uterus. The couple intended to
rear the children together as father and mother. When the couple’s relationship deteriorated, the
woman filed a parentage action seeking custody and child support. In response, the man claimed that
the woman had no standing as a parent because, lacking genetic connection to the children, she failed
to qualify as a parent under Tennessee’s parentage statutes. On this basis, the man sought sole and
exclusive custody. Employing a broadly-framed test that looks to the parties’ pre-conception intent
to determine maternity, both the juvenile court and the Court of Appeals held that the woman was
the children’s legal mother. Alternatively, the Court of Appeals held that the man, based on his
representations and conduct which induced detrimental reliance by the woman, is estopped to deny
the woman’s status as mother. We vacate the adoption of the intent test by the court below and also
vacate the holding of the Court of Appeals that the man is estopped to deny the woman’s maternal
status. However, we affirm on separate grounds the holding of the courts below that the woman is
the children’s legal mother with all the rights and responsibilities of parenthood. Our holding in this
regard is based on the following factors: (1) prior to the children’s birth, both the woman as gestator
and the man as the genetic father voluntarily demonstrated the bona fide intent that the woman would
be the children’s legal mother and agreed that she would accept the legal responsibility as well as
the legal rights of parenthood; (2) the woman became pregnant, carried to term, and gave birth to the
children as her own; and (3) this case does not involve a controversy between a gestator and a female
genetic progenitor where the genetic and gestative roles have been separated and distributed among
two women, nor does this case involve a controversy between a traditional or gestational surrogate
and a genetically-unrelated intended mother. Our holding today is tailored narrowly to the specific
1
Oral argument in this case was heard April 15, 2005 in Pulaski, Giles County, Tennessee, as part of this
Court’s S.C.A.L.E.S. (Supreme Court Advancing Legal Education for Students) project.
controversy now before us. Having concluded that the woman is the children’s legal mother, we also
affirm in full the judgments of the juvenile court and Court of Appeals concerning comparative
fitness, custody, child support, and visitation.
Tenn. R. App. P. 11; Judgments of the Trial Court and Court of Appeals
Vacated in Part; and Affirmed in Part
FRANK F. DROWOTA , III, C.J., delivered the opinion of the court, in which E. RILEY ANDERSON ,
JANICE M. HOLDER, and William M. Barker, JJ., joined. ADOLPHO A. BIRCH , JR., filed a dissenting
opinion.
Robert L. Jackson and Larry Hayes, Jr., Nashville, Tennessee (on appeal to the Supreme Court), and
P. Edward Schell, Franklin, Tennessee (at trial and on appeal to the Court of Appeals), for the
appellant, Dr. Charles K. G.
Pamela M. Spicer, Brentwood, Tennessee (on appeal), and W. Allen Barrett, Nashville, Tennessee
(at trial), for the appellee, Ms. Cindy C.
OPINION
I. Factual and Procedural Background
Dr. Charles K. G. and Ms. Cindy C.2 first met in 1993 while working at Vanderbilt University
Medical Center in Nashville. Cindy was a nurse practitioner who managed a department through
which Charles, then a medical resident, rotated. Charles and Cindy began dating in 1994. After an
initial period of closeness, they maintained for several years an unsteady dating relationship which
included an extended period of estrangement.
In 1999, Charles and Cindy not only reunited as an unmarried couple but also soon thereafter
began discussing having a child together. By this time Cindy was forty-five years old and Charles
was also in his mid-forties. Charles had never had children. He had not grown up in Tennessee, and
a December 1999 visit to his birthplace influenced him; he wanted to be a father. Even though
Cindy had at least two adult children from prior marriages as well as grandchildren, she was
amenable to starting a family with Charles. However, given her age, Cindy was concerned about the
viability of her ova, or eggs.
Having decided to have a child, Charles and Cindy pursued in vitro3 fertilization through the
2
In order to protect the anonymity of the children who are subject to dispute in this case, we refer to them
by their initials. For the same reason, we replace the parties’ surnames with initials.
3
In vitro means “[i]n an artificial environment, referring to a process or reaction occurring therein, as in a
test tube or culture media.” PDR Medical Dictionary 889 (M arjory Spraycar ed. 1995).
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Nashville Fertility Center. On May 2, 2000, they jointly executed several agreements with the
Fertility Center. Although Charles and Cindy were unmarried, they did not alter the boilerplate
language that the Center frequently used in its agreements describing them as “husband” and “wife.”
Included among these agreements was a “RECIPIENT CONSENT FOR DONATION OF
OOCYTES BY ANONYMOUS DONOR” (“Recipient Consent”) which describes the fertilization
procedure and its risks, waives the right of Charles and Cindy to know the egg donor’s identity, and
outlines the responsibilities of the parties to the agreement. The Recipient Consent further provides
as follows:
I, Cindy (wife), understand that the child(ren) conceived by this method will not have
my genetic material, but will have that of the oocyte [egg] donor and my husband
[sic]. However, regardless of the outcome, I will be the mother of any child(ren)
born to me as a result of egg donation and hereby accept all the legal responsibilities
required of such a parent.
This document was signed by Cindy as “wife” and by Charles as “husband” and was witnessed and
signed by a physician who represented that he had fully explained the procedure to Charles and
Cindy and had answered all their questions. However, Charles and Cindy executed no other
agreements concerning their intentions as to parentage or surrogacy.
Shortly thereafter, Charles paid the Fertility Center $10,000 for the procedure of having two
anonymously donated eggs fertilized with Charles’s sperm and inserted in Cindy’s uterus. Charles
intended for them to conceive only one child (presumably two eggs were used to increase the
procedure’s odds of success). After fertilization, one of the eggs divided, resulting in the
development of three embryos.4 All three embryos flourished; Cindy had become pregnant with
triplets.
During Cindy’s pregnancy, Charles began residing consistently at Cindy’s home. Due to
complications with the pregnancy, Cindy took an early leave from her job. When she was placed
on bed rest, Charles maintained the household and cooked for her. On February 21, 2001, Cindy
gave birth via caesarian section to three children: C.K.G., C.A.G., and C.L.G. Tennessee
Department of Health birth certificates for the children identify Charles as the father and Cindy as
the mother.
Although Charles had never promised to marry Cindy, he represented that he desired
permanence and stability with her. Further, Cindy understood and expected that they would raise
the children together as mother and father. In fact, Cindy even sought assurance from Charles that
she would not have to rear them by herself. Cindy stayed home with the triplets on maternity leave
until June 2001 when she returned to work four days per week. Having set aside money in
4
W e mostly use the general terms “fertilized egg” and “embryo” because fine technical distinctions
concerning successive stages of the conception and gestation processes— such as provided by “zygote” and
“preembryo”— are of little relevance to this appeal.
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anticipation of having a child, Charles took a one-year leave of absence (February 2001 to January
2002) from his position as an emergency room physician. For the first several months after the
triplets’ birth, Charles and Cindy lived together and shared parenting responsibilities. They each
provided financially for the children’s needs. Further, for some time they had discussed the need for
a larger home, and they purchased a house in Brentwood together as tenants in common with the
understanding that they would bear the cost equally. Cindy sold her prior residence, and she,
Charles, and the triplets moved into the new house in August 2001.
After hiring a nanny, Charles and Cindy’s relationship soon deteriorated. Cindy alleged that
Charles began cultivating or renewing relationships with several other women; Charles admitted to
having sex with another woman during a December 2001 trip to London, England. Cindy further
alleged that once their relationship had begun to deteriorate, Charles not only became dramatically
less involved with the children, but also began withholding financial support from them. In April
2002, after utility service to their home had been cut off, Cindy filed a petition in the juvenile court
of Williamson County to establish parentage and to obtain custody and child support.
In response, Charles argued that because Cindy lacks genetic connection to the children, she
fails to qualify as the children’s “mother” under Tennessee’s domestic relations statutes. Contending
that Cindy thus lacks standing as a parent, Charles sought sole and exclusive custody of the triplets.
Charles further denied that he had failed to support the children financially and also alleged that
Cindy was often absent from home on account of her part-time pursuit of a master’s degree in
business administration. Cindy conceded that Charles increased his involvement with the children
after she filed suit. A pendente lite order required Charles to pay Cindy $3,000 per month for child
support. Charles and Cindy continued to live together pending trial.
In anticipation of trial, Charles and Cindy stipulated that: (1) eggs donated by an anonymous
third-party female were fertilized with Charles’s sperm and implanted in Cindy’s uterus; (2) Cindy
carried the resulting embryos to term and gave birth to triplets; (3) based on genetic testing, Charles
is the biological father of all three children; (4) based on genetic testing, none of the children
obtained genetic material from Cindy; and (5) the genetic testing was valid.
After a bench trial, the juvenile court ruled that Cindy had standing to bring a parentage
action “as legal mother of these three (3) minor children with all the rights, privileges, and
obligations as if she were their biological mother.” The juvenile court reasoned that Cindy “is the
birth mother and always had the intent to birth these children for herself and [Charles].” Having so
decided, the juvenile court addressed the question of custody and support. The court concluded that
in light of all the circumstances, Charles and Cindy were both good and caring parents. Based upon
their “comparative fitness . . . as that affects the best interests of the minor children,” the court
awarded joint custody with Cindy designated as the primary custodial parent. The court further
ordered certain visitation rights in favor of Charles and required him to continue to pay Cindy child
support in the amount of $3,000 per month. Charles appealed as of right.
The Court of Appeals affirmed the judgments of the juvenile court. Concerning the question
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of Cindy’s parental status, the Court of Appeals held not only that Tennessee’s paternity and
adoption statutes do not control this case, but also that Tennessee case law provides no directly
controlling precedent. Consequently, the intermediate court looked to case law from other
jurisdictions for guidance. To determine as a matter of law whether Cindy is the “mother” of the
triplets, the Court of Appeals adopted the intent test of Johnson v. Calvert, 851 P.2d 776 (Cal. 1993),
holding that “this issue should be resolved by looking to the intent of the parties” and not merely to
genetics. The intermediate court determined that such an approach is consistent with this Court’s
decision in Davis v. Davis, 842 S.W.2d 588 (Tenn. 1992), where we emphasized the importance of
agreements between parties who choose to take advantage of modern techniques for assisted
reproduction. Finding that Cindy was the intended mother and that no other party claimed maternal
status, the Court of Appeals held that Cindy is legally the children’s mother. Alternatively, based
on principles of equity, the Court of Appeals held that Charles is estopped from challenging Cindy’s
parental status. Having affirmed that Cindy enjoys parental status, the Court of Appeals also
affirmed in all respects the juvenile court’s judgments concerning comparative fitness, custody,
visitation, and child support.
We granted Charles’s application for permission to appeal.
II. Analysis
In this case, an unmarried, heterosexual couple—Charles and Cindy—had children by
obtaining eggs donated from an anonymous third-party female, fertilizing the eggs in vitro with
Charles’s sperm, and implanting the fertilized eggs in Cindy’s uterus. Even though Cindy had no
genetic connection to the three children to whom she eventually gave birth, she and Charles intended
to rear the children together as mother and father. When the couple’s relationship deteriorated,
Cindy filed a parentage action seeking custody and child support from Charles. In response, Charles
claimed that Cindy had no standing as a parent because, lacking genetic connection to the children,
she failed to qualify as a parent under Tennessee parentage statutes. On this basis, Charles sought
sole and exclusive custody. The facts of this case thus present us with a question of first impression
in Tennessee: under such circumstances, who as a matter of law is the children’s mother? We also
must decide secondary questions pertaining to comparative fitness, custody, visitation, and child
support.
It is helpful to explain further how the primary issue which we must decide is distinct from
other kinds of maternity disputes. This case is distinguishable from maternity disputes within the
context of “traditional surrogacy,” such as the situation involved in In re Baby M, 537 A.2d 1227
(N.J. 1988), superseded by statute as recognized in In re Adoption of Children by G.P.B., 736 A.2d
1277 (N.J. 1999). In a traditional surrogacy arrangement, a surrogate “mother” gives birth to a child
by allowing her own eggs to be inseminated. A traditional surrogate mother thus has a genetic
connection to the child whom she nonetheless bears on behalf of others. In contrast, “gestational
surrogacy” involves in vitro fertilization of an intended “mother’s” egg which is then implanted for
gestation purposes in a genetically-unrelated surrogate “mother.” See Ardis L. Campbell,
Annotation, Determination of Status as Legal or Natural Parents in Contested Surrogacy Births, 77
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A.L.R.5th 567, 574, § 2[a] (2000) (contrasting traditional surrogacy with gestational surrogacy);
Kermit Roosevelt III, The Newest Property: Reproductive Technologies and the Concept of
Parenthood, 39 Santa Clara L. Rev. 79, 113 (1998) (same); see also Jaycee B. v. Superior Court, 49
Cal. Rptr. 2d. 694, 695 (Cal. Ct. App. 1996) (defining gestational surrogacy).
Our case is closer in kind to “gestational surrogacy with egg donation” where a woman
carries and gives birth to a child as a result of fertilization and implantation of a third-party donor’s
egg. See Campbell, 77 A.L.R.5th at 574, § 2[a]. Under such circumstances, both the egg donor and
the gestational carrier, or gestator, may perform the role of surrogate. A “surrogate” is generally
defined as “a person appointed to act in place of another . . . .” Webster’s Third New Int’l Dictionary
of the English Language Unabridged 2302 (Philip Babcock Gove ed. 1971). The egg donor is a
surrogate insofar as she provides eggs in place of and on behalf of another woman who cannot
produce viable eggs. The gestator may also play the role of surrogate by carrying the child to term
in place of and on behalf of another.
In this case, however, an anonymous, surrogate egg donor provided eggs to a gestator (Cindy)
who gave birth ostensibly for her own benefit. Whether Cindy may be classified as a gestational
“surrogate” is thus problematic, for the question is unavoidably tied up with disputed legal questions.
Cindy would argue that she is not a gestational “surrogate” because she gestated and gave birth to
the children on behalf of both Charles as father and herself as mother. However, Charles contends
that Cindy was merely a gestational “surrogate” on behalf of Charles as the sole legal parent.
A. The Question of Maternity
In addressing the question of maternity, we review findings of fact by the trial court de novo
upon the record, accompanied by a presumption of the correctness of the findings, unless the
preponderance of the evidence is otherwise. See Tenn. R. App. P. 13(d); Union Carbide Corp. v.
Huddleston, 854 S.W.2d 87, 91 (Tenn. 1993). Our standard of appellate review for questions of law
is de novo with no presumption of correctness. Presley v. Bennett, 860 S.W.2d 857, 859–60 (Tenn.
1993).
1. The Impact of Modern Reproductive Technology
on the Legal Definition of Parenthood
“Historically, gestation proved genetic parentage beyond doubt, so it was unnecessary to
distinguish between gestational and genetic mothers.” Roosevelt, 39 Santa Clara L. Rev. at 97.
However, recent developments in reproductive technology have caused a tectonic shift in the realities
which underlie our legal conceptions of parenthood.
With the technological development of a number of processes of procreation,
most notably in vitro fertilization, the conceptive and gestational phases of
reproduction can now be separate. Thus, the genetic and gestational mothers of a
child are no longer necessarily the same person, which can result in a child having
several possible parents. These new reproductive technologies and arrangements
give rise to the fundamental question of who should be recognized as the parents of
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a child born as a result of various parties making distinct contributions to the process
of procreation.
Campbell, 77 A.L.R.5th at 574, § 2[a].
This technological fragmentation of the procreative process, insofar as it includes techniques
for egg and sperm donation and preservation, has engendered a bewildering variety of possibilities
which are not easily reconciled with our traditional definitions of “mother,” “father,” and “parent.”
We now live in an era where a child may have as many as five different
“parents.” These include a sperm donor, an egg donor, a surrogate or gestational
host, and two nonbiologically related individuals who intend to raise the child.
Indeed, the process of procreation itself has become so fragmented by the variety and
combinations of collaborative-reproductive methods that there are a total of sixteen
different reproductive combinations, in addition to traditional conception and
childbirth.
John Lawrence Hill, What Does It Mean to Be a “Parent”? The Claims of Biology as the Basis for
Parental Rights, 66 N.Y.U. L. Rev. 353, 355 (1991). The degree to which current statutory law
governs or fails to govern these realities provides the initial framework for our analysis.
2. The Limited Scope of Tennessee’s Parentage Statutes
Parentage is an area of law governed primarily by statute. Unfortunately, Tennessee’s
parentage and related statutes do not contemplate many of the scenarios now made possible by recent
developments in reproductive technology. We now review Tennessee’s statutory scheme. When
construing statutes, we must “ascertain and carry out the legislature’s intent without unduly
restricting or expanding a statute’s coverage beyond its intended scope.” Premium Fin. Corp. of Am.
v. Crump Ins. Servs. of Memphis, Inc., 978 S.W.2d 91, 93 (Tenn. 1998). “In ascertaining the intent
of the legislature, this Court may look to ‘the language of the statute, its subject matter, the object
and reach of the statute, the wrong or evil which it seeks to remedy or prevent, and the purpose
sought to be accomplished in its enactment.’” State v. Gilliland, 22 S.W.3d 266, 275 (Tenn. 2000)
(quoting State v. Lewis, 958 S.W.2d 736, 739 (Tenn. 1997)).
The Tennessee Code provides a single cause of action for establishing parentage. Tenn. Code
Ann. § 36-2-301 (2001). A court “may enter an order of parentage upon the agreement of the mother
and father unless the court on its own motion orders genetic testing.” Tenn. Code Ann. § 36-2-
305(a) (2001). Alternatively, a complaint to establish parentage of a child may be brought by the
child, the “child’s mother,” a “man claiming to be the child’s father,” or the Tennessee Department
of Human Services. Tenn. Code Ann. § 36-2-305(b)(1).
The parentage statutes define “mother” as “the biological mother of a child born out of
wedlock.” Tenn. Code Ann. § 36-2-302(4) (2001) (emphasis added). Similarly, “parent” is defined
as “the biological mother or biological father of a child, regardless of the marital status of the mother
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and father.” Tenn. Code Ann. § 36-2-302(5) (emphasis added). The parentage statutes do not define
“biological mother.” Consequently, we adduce definitions provided by Tennessee’s adoption
statutes. Statutes in pari materia—that is, statutes relating to the same subject or having a common
purpose—are to be construed together. Lyons v. Rasar, 872 S.W.2d 895, 897 (Tenn. 1994).
The adoption statutes define “biological parents” as “the woman and man who physically or
genetically conceived the child.” Tenn. Code Ann. § 36-1-102(10) (2001) (emphasis added). Code
section 36-1-102(10) focuses solely on conception, making no reference to giving birth. The verb
“conceived” is modified by two disjunctively related adverbs. On the one hand, “physically” is an
adverb meaning “in a physical manner” and “in respect to the body,” Webster’s Third New Int’l
Dictionary of the English Language Unabridged 1707, and which thus means in a manner which
relates to or stands “in accordance with the laws of nature,” id. at 1706 (defining “physical”). As
used in the statute, “physically . . . conceived” therefore means having caused conception through
natural means (coitus) as opposed to artificial means.
On the other hand, “genetically conceived” means having caused conception in a manner
pertaining to “genetic makeup and phenomena .” Id. at 946 (defining “genetics”). Genetic
conception thus entails the contribution of one’s genes5 to a child. By providing for genetic
conception in addition to physical or natural conception, Code section 36-1-102(10) implicitly
accounts for genetic procreation via technological assistance. If practicable, a statute is to be
construed so that its component parts are reasonably consistent. Marsh v. Henderson, 424 S.W.2d
193, 196 (Tenn. 1968). “Every word used is presumed to have meaning and purpose, and should be
given full effect if so doing does not violate the obvious intention of the Legislature.” Id.
We agree with the Court of Appeals that Cindy falls outside the statutory scope of the
parentage and adoption statutes, which do not expressly control the circumstances of this case. It
is appropriate to construe the parentage and adoption statutes narrowly insofar as this case involves
such fundamental constitutional rights as parenthood and the right to procreate. See Hawk v. Hawk,
855 S.W.2d 573, 578–79 (Tenn. 1993); Davis v. Davis, 842 S.W.2d 588, 600–01 (Tenn. 1992).
Further, we refrain from “speculating about the significance of provisions which are not included
in [a] statute,” finding it more effective to “consider the words actually used.” Fletcher v. State, 951
S.W.2d 378, 382 (Tenn. 1997).
First, although the definition of “biological parents” in Tennessee Code Annotated section
36-1-102(10) implicitly accounts for assisted conception by distinguishing between physical (natural)
and genetic conception, see supra, the adoption and parentage statutes do not further elaborate upon
this distinction.
Second, even the definition of “surrogate birth” in Tennessee Code Annotated section 36-1-
5
See PDR Medical Dictionary 711 (defining “gene” as “[a] functional unit of heredity which occupies a
specific place . . . on a chromosome, is capable of reproducing itself exactly at each cell division, and directs the
formation of an enzyme or other protein”).
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102(48)(A) (2001) assumes the existence of a marital relationship between the intended parents on
whose behalf the surrogate carries a child. See Tenn. Code Ann. § 36-1-102(48)(A)(i) (“The union
of the wife’s egg and the husband’s sperm which are then placed in another woman who carries the
fetus to term and who, pursuant to a contract, then relinquishes all parental rights . . . .”) (emphasis
added); § 36-1-102(48)(A)(ii) (The gestational surrogate “shall relinquish the child to the biological
father and the biological father’s wife.”) (emphasis added). As the Court of Appeals correctly
pointed out, this definition of surrogate birth is “expressly based on the predicate that the surrogate
entered into a contract by which she relinquished all parental rights.” Moreover, this statutory
definition assumes that the intended mother is a woman other than the gestator. However, in this
case not only was there no marriage or surrogacy contract, there is also no evidence in the record to
suggest that Cindy gave birth on behalf of anyone but Charles and herself.6
Third, the parentage statutes generally fail to contemplate dispute over maternity. For
example, the rebuttable presumptions of parentage provided in Tennessee Code Annotated section
36-2-304 (2001) focus exclusively on establishing paternity. See Tenn. Code Ann. § 36-2-304(a)
(“A man is rebuttably presumed to be the father of a child if . . . .”) (emphasis added). The statutes
also employ the term “mother” in a way that assumes we already know who the “mother” is, see, e.g.
Tenn. Code Ann. §§ 36-2-303, 36-2-305(b)(1)(B) (2001), whereas references to “father” include
such phrases as “a man claiming to be the child’s father,” Tenn. Code Ann. § 36-2-305(b)(1)(C),
“alleged father,” Tenn. Code Ann. § 36-2-305(b)(4), and “putative father,” Tenn. Code Ann. § 36-2-
318 (2001). Similarly, the statute providing for an order of parentage is concerned solely with the
establishment of paternity. See Tenn. Code Ann. § 36-2-311(a) (2001) (“Upon establishing
parentage, the court shall make an order declaring the father of the child.”) (emphasis added). The
statutes lack corresponding language concerning the establishment of maternity.
The legislative history of the parentage statutes reinforces our conclusion that they fail to
contemplate or to control the circumstances of this case. Where the plain language of a statute does
not clearly resolve an issue, it is appropriate to consider the history and purpose of legislation in
order to ascertain legislative intent. See Lavin v. Jordon, 16 S.W.3d 362, 365–66 (Tenn. 2000).
In 1997, the Tennessee General Assembly completely overhauled the statutes concerning
paternity and legitimation. See 1997 Tenn. Pub. Acts ch. 477. The primary purpose of this change
was to streamline and to simplify the formerly separate causes of action for paternity and
legitimation by combining them into a single parentage action. See Tenn. Code Ann. §§ 36-2-101
to -115 (1996) (paternity) and §§ 36-2-201 to -210 (1996) (legitimation), repealed by 1997 Tenn.
Pub. Acts ch. 477 (codified at Tenn. Code Ann. §§ 36-2-301 to -322 (2001)); Tape H-C & FA #1
(Tennessee House of Representatives Children and Family Affairs Committee Mar. 26, 1997) (“This
bill is an effort to try to revise our statutes and bring us into the twentieth century and develop one
6
W e note that the surrogate birth statute itself reflects a neutral legislative stance as to the validity and
enforceability of surrogacy arrangements. See Tenn. Code Ann. § 36-1-102(48)(C) (“Nothing herein shall be
construed to expressly authorize the surrogate birth process in Tennessee unless otherwise approved by the courts or
the general assembly.”). We express no opinion here on that issue.
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system for determining and establishing the parentage of children born out of wedlock.”) (statement
of Rep. Kim McMillan). The 1997 legislation was also designed to correct a particular
constitutional infirmity of the prior statutes.7
Significantly, the legislative history shows that the current parentage statutes were not
designed to control questions of parentage where sperm or egg donation is involved. In response to
the observation that the new parentage statutes could potentially allow a sperm donor to file a
parentage claim, Mr. Steve Cobb stated as follows:
I can tell you that the clear intention, discussed intention, of this [bill] was not to deal
with sperm donors at all. . . . [W]e wanted to put that off for another day. . . . The
intent, and it should be stated by the sponsor in a colloquy on the floor if necessary,
is not to affect that issue at all.
Tape S-Jud. #4 (Tennessee Senate Judiciary Committee May 13, 1997). Concerning the question
of maternity where egg donation is involved, the legislative history contains no indication that this
matter was ever contemplated as a potential issue.
In sum, we conclude that Tennessee’s parentage and related statutes do not provide for or
control the circumstances of this case. Contrary to the position taken by the dissent which would
restrict the basis for legal maternity to genetic consanguinity alone, we determine that these statutes
simply do not apply to all conceivable parentage determinations. In this regard, we agree with the
Court of Appeals.
3. Tests for Legal Maternity in Other Jurisdictions
In the absence of express guidance from the legislature, the Court of Appeals looked to case
law from other jurisdictions to resolve the dispute of maternity in this case. Among the few
jurisdictions which have addressed cases like this one, where a gestational carrier implanted with
donated eggs seeks parental status of the resulting children and where legislation does not clearly
resolve the matter, two tests for maternity have arisen. Some courts have focused on intent, holding
that under such circumstances the intended “mother” is to be deemed the legal mother. See, e.g.,
Johnson v. Calvert, 851 P.2d 776 (Cal. 1993); In re Marriage of Buzzanca, 72 Cal. Rptr. 2d 280 (Cal.
Ct. App. 1998); McDonald v. McDonald, 608 N.Y.S.2d 477 (N.Y. App. Div. 1994). Other courts
have instead focused on genetics and gestation, holding that genetic connection to the children is of
paramount importance in determining legal maternity. See, e.g., Culliton v. Beth Israel Deaconess
Med. Ctr., 756 N.E.2d 1133 (Mass. 2001); Belsito v. Clark, 644 N.E.2d 760 (Ohio Ct. Common
7
Tennessee Code Annotated section 36-2-202(c) (1996), repealed by 1997 Tenn. Pub. Acts ch. 477, had
provided that “[n]othing herein shall be construed to authorize a putative father to legitimate a child or to execute
any voluntary acknowledgment of paternity without the consent of the mother of such child” (emphasis added). In
1996, the Tennessee Court of Appeals held that requiring consent of the mother was constitutionally invalid. In re
Hood, 930 S.W .2d 575, 580 (Tenn. Ct. App. 1996) (“[W ]e hold unconstitutional that part of T.C.A. § 36-2-202(c)
which purports to disallow a putative father from attempting to legitimate his child without the mother’s consent, on
both due process and equal protection grounds.”).
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Pleas 1994).
The intent test has developed primarily in California. In Johnson, a married couple was
unable to have children naturally because the wife had undergone a hysterectomy, yet the wife could
still produce eggs. 851 P.2d at 778. The couple entered into a surrogacy agreement with a third-
party female who agreed to give birth to a child on their behalf in exchange for $10,000 and other
consideration. One of the wife’s eggs was fertilized with her husband’s sperm and was successfully
implanted in the surrogate’s uterus. However, when the relationship between the couple and the
surrogate deteriorated, litigation over maternity and custody ensued. Id. Under California’s version
of the Uniform Parentage Act, both genetic consanguinity and giving birth were equally cognizable
bases for establishing maternity. Id. at 780–81. The Court declined to recognize two legal mothers.
Id. at 781 n. 8. In order to break the tie, the California Supreme Court held that when gestation and
genetic consanguinity “do not coincide in one woman, she who intended to procreate the child—that
is, she who intended to bring about the birth of the child that she intended to raise as her own—is
the natural mother under California law.” Id. at 782.8 The Johnson Court justified its holding in part
by strongly affirming the validity of surrogacy contracts. Id. at 784.
The genetic test has been set forth most thoroughly by the Ohio Court of Common Pleas in
Belsito. In Belsito, a married couple wanted children, and the wife could produce eggs but could not
sustain a pregnancy. 644 N.E.2d at 760–61. By agreement, one of the wife’s eggs was fertilized
with the husband’s sperm and then implanted in the uterus of a gestational surrogate (the wife’s
sister). Without objection from the surrogate, the couple sought a declaratory judgment of maternity
and paternity. Id. at 761–62. Like California, Ohio had adopted a version of the Uniform Parentage
Act which provided that “maternity can be established by identifying the natural mother through the
birth process or by other means, including DNA blood tests,” as provided by statute. Id. at 763
(citing Ohio Rev. Code Ann. ch. 3111). Also declining to recognize two legal mothers, id., the court
applied a two-stage analysis for establishing maternity. First, if the male and female genetic
providers have not waived parental rights, they must be declared the legal parents. Second, if the
female genetic provider has waived her parental rights, then the gestator is the legal mother. See id.
at 767. On this basis, the court held that the married couple, as the child’s genetic progenitors, were
the legal parents. Id. at 767.
Significantly, Tennessee’s statutory framework for establishing maternity differs markedly
from the California and Ohio statutes under consideration in Johnson and Belsito. Compare Tenn.
Code Ann. § 36-2-302(4) (defining “mother” as “the biological mother of a child born out of
wedlock”) and Tenn. Code Ann. § 36-1-102(10) (defining “biological parents” as “the woman and
man who physically or genetically conceived the child”) with Cal. Civ. Code § 7003(1) (West 1983)
(“The parent and child relationship may be established . . . [b]etween a child and the natural mother
. . . by proof of her having given birth to the child, or under this part.”), repealed by 1992 Cal. Stat.
c. 162 (A.B. 2650), § 4 and Ohio Rev. Code Ann. § 3111.02 (West 1992) (“The parent and child
relationship between a child and the child’s natural mother may be established by proof of her having
8
The intent test of Johnson was adopted with little analysis in McDonald, 608 N.Y.S.2d at 480.
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given birth to the child or pursuant to [other sections of the Ohio Revised Code].”). Consequently,
neither California’s intent test nor Ohio’s genetic test is strictly apposite to our statutory scheme.
Further, both the intent test and the genetic test suffer from inadequacies. For example, in
Johnson the California Supreme Court crafted an unnecessarily broad rule which could afford
maternal status even to a woman who failed to qualify under either of California’s two statutory
bases for maternity. See Johnson, 851 P.2d at 783. According to Belsito, the intent formulation of
Johnson has “discarded both genetics and birth as the primary means of identifying the natural
maternal parent, ” Belsito, 644 N.E.2d at 764, and provides for, “in effect, a private adoption process
that is readily subject to all the defects and pressures of such a process,” id. at 766. In Tennessee,
unlicensed and unregulated adoption is statutorily prohibited and subject to criminal penalties. See
Tenn. Code Ann. §§ 36-1-108 to -109 (2001).
However, the genetic test of Belsito also has significantly broad implications. In the event
that a dispute were to arise between an intended mother who had obtained eggs from a third-party
donor and a gestational surrogate in whom the eggs had been implanted, the genetic test would
implicitly invalidate any surrogacy agreement. The genetic test could also have practical effects
similar to the “adoption-default model” criticized by In re Marriage of Buzzanca, see 72 Cal. Rptr.
2d at 289, in that an intended “mother” who employs techniques for assisted reproduction including
egg donation would by default have to submit to government-controlled adoption procedures to
attain a secure legal status as “mother.” Policy-wise, the requirement of such regulation may or may
not be sound.
Consequently, we decline to adopt either the intent test or the genetic test as a general rule
for resolving this case. We thus vacate the adoption of the intent test of Johnson by the courts below.
4. Factors for Establishing Legal Maternity
In light of the foregoing analysis, we deem it appropriate to decide this case on particularly
narrow grounds. In Davis the primary issue hinged on the constitutional right to avoid procreation,
see 842 S.W.2d at 601–02, but in the instant case the issue surrounds the maternity and custody of
children who have already been born as the result of techniques for assisted reproduction and egg
donation. Children, of course, are not property, and the State’s interest in the welfare of children is
eminently greater than the State’s interest in controlling preembryos. The distinction between Davis
and this case thus highlights the complexities involved in determining whether the affirmative
attempt to procreate via technological assistance including egg or sperm donation is more closely
analogous to procreative autonomy with its corresponding right of privacy or more closely analogous
to a private form of adoption and thus more susceptible to governmental regulation in the interest
of child welfare. Such a determination—which strikes at the very roots of current social values—is
inherently policy-laden and both administratively and fiscally momentous, and its resolution on a
broad scale is properly reserved for the legislature.
Therefore, in resolving this case we focus closely on its particular facts. Charles and Cindy,
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an unmarried couple, wanted to start a family and agreed to rear a child together permanently as
father and mother, not suspecting that their own relationship would eventually fall apart. Given
Cindy’s age, they agreed to fertilize anonymously donated eggs with Charles’s sperm and to implant
the fertilized eggs in Cindy’s uterus. Before the procedure, Charles and Cindy executed the
Recipient Consent in which Charles acknowledged Cindy’s status as “mother” and in which Cindy
agreed to accept all the responsibilities of parenthood:
I, Cindy (wife), understand that the child(ren) conceived by this method will not have
my genetic material, but will have that of the oocyte [egg] donor and my husband
[sic]. However, regardless of the outcome, I will be the mother of any child(ren)
born to me as a result of egg donation and hereby accept all the legal responsibilities
required of such a parent.
Cindy was impregnated and carried not just one but three fetuses to term. After a complicated
pregnancy, she gave birth via caesarian section to triplets. Charles allowed Cindy to be named the
“mother” on the children’s birth certificates. After the children were born, Charles and Cindy lived
together in an arrangement where both Charles and Cindy performed the role of parent.
Having recounted these events, we now discuss the relevant factors which we consider to be
significant for deciding this case.
i. Genetics
Both statute and sound policy support genetics as an important factor in establishing legal
maternity. Human reproduction as we now know it cannot take place without the involvement of
genetic material. As analyzed above, Tennessee’s domestic relations statutes provide for the
establishment of legal maternity based on genetic consanguinity. See §§ 36-2-302(4) (defining
“mother” as “the biological mother of a child born out of wedlock”), 36-1-102(10) (defining
“biological parents” as “the woman and man who physically or genetically conceived the child”).
In emphasizing genetics, Belsito recognizes and honors an individual’s decision to procreate or to
refrain from procreating. 644 N.E.2d at 766 (“The procreation of a child, that is, the replication of
the unique genes of an individual, should occur only with the consent of that individual.” (citing
Davis, 842 S.W.2d at 588)). As we held in Davis, such decisions enjoy constitutional protection.
842 S.W.2d at 600–01.
However, our recognition in Davis of the constitutional right to control the disposition of
one’s genetic material does not mean that Davis stands for the proposition that genetics must be
paramount in all parentage determinations. In cases such as this one, where a woman has become
intimately involved in the procreation process even though she has not contributed genetic material,
factors other than genetics take on special significance.
ii. Intent
Before the children’s birth, both Cindy and the genetic father, Charles, voluntarily
demonstrated the bona fide intent that Cindy would be the children’s legal mother, and they agreed
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that Cindy would accept all the legal responsibility as well as the legal rights of parenthood. We
consider the intent to take on both parental rights and responsibilities as one important factor among
others for resolving this controversy.
Although our decision in Davis does not control this case, we agree with the Court of
Appeals that it is nonetheless instructive. In Davis, this Court had to decide whether a man could
prevent donation and implantation against his will of a preembryo (an early-stage fertilized egg)
containing his genes. 842 S.W.2d at 589–90. We held that just as an individual enjoys a
constitutionally-protected right to procreate, an individual also has a similar right to avoid
procreation. Id. at 600-01. We concluded that disputes over the control of preembryos are to be
resolved first by looking to the agreement of the progenitors and second, in the absence of
agreement, by weighing the relative interests of the male and female providers of reproductive cells.
Id. at 604. Davis thus underscored the importance of intent and agreement with respect to the
disposition of an individual’s reproductive and genetic material.
Although Tennessee’s parentage statutes recognize maternity on the basis of genetics, see
Tenn. Code Ann. §§ 36-1-102(10), 36-2-302(4), as we have seen that the parentage statutes do not
expressly control this case and thus do not necessarily confine the establishment of legal maternity
to genetics alone. To the contrary, we determine that taking intent into consideration as a factor is
consistent with policy implicit in Tennessee’s domestic relations statutes.
Significantly, the artificial insemination statute of Tennessee Code Annotated section 68-3-
306 (2001) supports the consideration of intent as a factor for establishing legal maternity. This
section is entitled “Birth from artificial insemination” and is contained in the part of the Tennessee
Code which addresses vital records. It provides as follows: “A child born to a married woman as
a result of artificial insemination, with consent of such married woman’s husband, is deemed to be
the legitimate child of the husband and wife.” Tenn. Code Ann. § 68-3-306. Like the parentage
statutes, Code section 68-3-306 does not expressly govern this case because the statute contemplates
and provides for an agreement within the context of marriage; Charles and Cindy were not married,
and in any event there is now a lack of consent. Notwithstanding, it is significant that Code section
68-3-306 confers parental status on a husband even though the child conceived in his wife via
artificial insemination is not necessarily genetically related to him. The artificial insemination statute
thus reflects a policy which favors taking into account intent in establishing parentage when
technological assistance is involved.
iii. Gestation
Cindy became pregnant and gave birth to the children with the intent of raising them as her
own. As mentioned above, historically gestation “proved genetic parentage beyond doubt” and thus
was conclusive of maternity. See Roosevelt, 39 Santa Clara L. Rev. at 97; see also Malina Coleman,
Gestation, Intent, and the Seed: Defining Motherhood in the Era of Assisted Human Reproduction
17 Cardozo L. Rev. 497, 501 (1996) (“When the two functions of genetic contribution and gestation
were inextricably bound, the issue of legal motherhood at birth was not disputable. The ancient
maxim, mater est quam gestation demonstrat (by gestation the mother is demonstrated),
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unqualifiedly applied to all births.”). The common law thus has presumed that the birth mother is
the legal mother of the child. See Coleman, 17 Cardozo L. Rev. at 524. It is only quite recently that
modern technology has made it possible to separate and to distribute among multiple persons or
environments the genetic and gestational roles. We consider gestation as another important factor
in determining legal maternity in this case.
To be sure, as discussed above, genetics remains an irreplaceable component of human
reproduction, and as such genetic consanguinity is and should be particularly important to parentage
determinations. And as our analysis above has shown, Tennessee’s domestic relations statutes
expressly account for genetics in parentage determinations. See Tenn. Code Ann. §§ 36-1-102(10),
§ 36-2-302(4).
However, as our analysis above has also shown, Tennessee’s parentage and related statutes
were simply not designed to control the circumstances of this case. To restrict legal maternity to
genetic consanguinity alone where, as in this case, the genetic “mother” is an egg donor who has
waived her parental rights and who has been and remains permanently anonymous would result in
the absurdity of children having, for all practical purposes, no legal mother. A child’s knowledge
that he or she has an anonymous and inaccessible mother somewhere in the world would provide
only cold comfort, and demanding such a result in cases like this one could hardly promote the best
interests of children. “Courts must presume that the Legislature did not intend an absurdity and
adopt, if possible, a reasonable construction which provides for a harmonious operation of the laws.”
Fletcher, 951 S.W.2d at 382 (citing Cronin v. Howe, 906 S.W.2d 910, 912 (Tenn. 1995) and Epstein
v. State, 366 S.W.2d 914 (Tenn. 1963)).
We further observe that in this case the genetic “mother” has donated her eggs to another and
has correspondingly waived her parental rights, thereby relinquishing her status as legal mother. As
Belsito correctly concludes, “a genetic test cannot be the only basis for determining who will assume
the status of legal parent.” 644 N.E.2d at 767.
Although giving birth is conspicuously absent from Tennessee’s parentage statutes, as
discussed above, there is no indication that the General Assembly sought to exclude it as a basis for
legal maternity or even sought to decide questions of maternity at all. In this regard, the artificial
insemination statute is once again significant. In addition to recognizing paternity where artificial
insemination is involved, Tennessee Code Annotated section 68-3-306 confers parental status on a
wife when she gives birth to a child as the result of artificial insemination. This statute displays a
policy which favors recognizing gestation and giving birth as a basis for legal maternity.
Accordingly, we conclude that sound policy and common sense favor recognizing gestation
as an important factor for establishing legal maternity. “Although current technology allows the
separation between gestation and genetic contribution, it does not follow that gestation is now a less
important part of parenthood.” Coleman, 17 Cardozo L. Rev. at 517. In our view, the dissent
accords too little significance to gestation as a factor for deciding this controversy.
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iv. The Absence of Controversy Between
the Gestator and the Genetic “Mother”
Another factor to consider in resolving this case is the nature of the controversy. Here we
are not faced with a controversy between a birth “mother” and a genetic “mother” where the genetic
and gestational roles have been separated and distributed among two women. In this case, the
genetic “mother” has fully waived her parental rights and remains anonymous. Nor is this a case
involving a dispute between a traditional or gestational surrogate and a genetically-unrelated
intended “mother” who wishes to raise the child as her own. Rather, Cindy became pregnant and
gave birth to triplets on her own behalf, and the sole dispute is between her and the genetic father,
Charles. The other kinds of conflicts present different questions and ones which would be
inappropriate for us to decide here. Instead, we limit our holding today to cases where there is no
controversy between the gestator and the genetic “mother.”
5. Establishing Legal Maternity in This Case
Deciding this case narrowly based on its particular facts, we affirm on separate grounds the
holding of the courts below that Cindy is the legal mother. Our holding that Cindy is the legal
mother of C.K.G., C.A.G., and C.L.G. with all the legal rights and responsibilities of parenthood is
based on the following factors. First, prior to the children’s birth, both Cindy, the gestator, and
Charles, the genetic father, voluntarily demonstrated the bona fide intent that Cindy would be the
children’s legal mother and agreed that Cindy would accept the legal responsibility as well as the
legal rights of parenthood. Second, Cindy then became pregnant, carried to term, and gave birth to
the three children as her own. Third, this case does not involve a controversy between a gestator and
a female genetic progenitor where the genetic and gestative roles have been separated and distributed
among two women, nor does this case involve a controversy between a traditional or gestational
surrogate and a genetically-unrelated intended mother; our holding today is not designed to control
such controversies. Even though Cindy lacks genetic connection to the triplets, in light of all the
factors considered we determine that Cindy is the children’s legal mother. We further conclude that
in light of the factors considered, Charles’s genetic paternity does not give him a parental status
superior to that of Cindy.
Having thus concluded that Cindy is the children’s legal mother, the question of estoppel is
moot, and we vacate the holding of the Court of Appeals that Charles is estopped to deny Cindy’s
maternal status.
6. The Need for Legislative Action
Given the far-reaching, profoundly complex, and competing public policy considerations
necessarily implicated by the present controversy, we conclude that crafting a general rule to
adjudicate all controversies so implicated is more appropriately accomplished by the Tennessee
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General Assembly.9 Cf. Taylor v. Beard, 104 S.W.3d 507, 511 (Tenn. 2003) (declining to create
a previously unrecognized common law cause of action where doing so would have “far-reaching
social and legal consequences in an area that we have consistently left to legislative discretion”).
The General Assembly is better suited than the courts to gather data, to investigate issues not subject
to current litigation, and to debate the competing values and the costs involved in such an issue as
deciding whether generally to subject procreation via technological assistance to governmental
oversight, and if so, to determine what kind of regulation to impose. Cf. Smith v. Gore, 728 S.W.2d
738, 747 (Tenn. 1987) (“The Court simply does not function as a forum for resolution of . . .
generalized public issues; rather, it must decide the legal case or controversy presented by the
particular parties before it.”). Even courts which have crafted and applied the intent and genetic tests
have been cognizant of the need for legislative action concerning technologically assisted human
reproduction.10 Although the courts have the power to “determine public policy in the absence of
9
W e note that concerning a variety of issues, this Court has invited legislative action or has reserved
lawmaking as more appropriate for the legislature. See, e.g., Pike v. State, 164 S.W .3d 257, 264–65 (Tenn. 2005)
(stating that it is up to the legislature to determine whether to mandate post-conviction review of a death sentence);
Dotson v. Rice-Chrysler-Plymouth-Dodge, Inc., 160 S.W.3d 495, 503 n.5 (Tenn. 2005) (stating that the Court must
“uphold and effectuate the statutory [worker’s] compensation scheme as it is provided by the legislature” while
acknowledging that doing so could require fully debilitating reflex sympathetic dystrophy to fall under scheduled
member recovery); Sullivan ex rel. Hightower v. Edwards Oil Co., 141 S.W .3d 544, 546, 548 (Tenn. 2004) (inviting
legislative action concerning compensation of family members who care for injured workers); Taylor v. Beard, 104
S.W .3d 507, 510–11 (Tenn. 2003) (stating that it is for the legislature and not the courts to create a cause of action
for loss of parental consortium in personal injury cases); State v. Goodman, 90 S.W .3d 557, 565 (Tenn. 2002)
(stating that it is for the legislature and not the courts to amend the criminal statute for especially aggravated
kidnapping); Limbaugh v. Coffee Med. Ctr., 59 S.W .3d 73, 83–84 (Tenn. 2001) (refusing to judicially create
additional exceptions to the Governmental Tort Liability Act); State v. Godsey, 60 S.W .3d 759, 772 (Tenn. 2001)
(stating that it is for the legislature to decide whether to require electronic recording of interrogations by law
enforcement officials); Bryant v. Genco Stamping & Mfg. Co., 33 S.W .3d 761, 766 (Tenn. 2000) (stating that it is
for the legislature and not the courts to make the policy decision to subject the Second Injury Fund to liability for
preexisting mental disability when the plain language of the controlling workers’ compensation statute provides
otherwise); Gleaves v. Checker Cab Transit Corp., 15 S.W .3d 799, 804 (Tenn. 2000) (holding that the plain
language of a metropolitan ordinance subjected a cab company to liability even for off-duty drivers of cabs and
stating that it is for the Metropolitan Council and not the courts to restrict the ordinance’s scope of liability); State v.
Owens, 20 S.W .3d 634, 641 (Tenn. 2000) (holding that violence or threat of violence which occurs after a theft has
been completed fails to satisfy the violence element of Tennessee’s robbery statute and stating that it is “up to the
General Assembly, not this Court, to promulgate the parameters of the offense.”).
10
See Johnson, 851 P.2d at 784–85 (“W e are all too aware that the proper forum for resolution of this issue
[of the potential evils of surrogacy agreements] is the Legislature, where empirical data, largely lacking from this
record, can be studied and rules of general applicability developed. However, in light of our responsibility to decide
this case, we have considered as best we can its possible consequences.”); In re Marriage of Buzzanca, 72 Cal. Rptr.
2d at 293 (“[W ]e must call on the Legislature to sort out the parental rights and responsibilities of those involved in
artificial reproduction. . . . [W ]e still believe it is the Legislature, with its ability to formulate general rules based on
input from all its constituencies, which is the more desirable forum . . . .”); Culliton, 756 N.E.2d at 1139 (“The
Legislature is the most suitable forum to deal with the questions [of the parentage of children born from various
methods of reproductive technologies or assisted conception] involved in this case, and other questions as yet
unlitigated, by providing a comprehensive set of laws that deal with the medical, legal, and ethical aspects of these
practices.”); see also Belsito, 644 N.E.2d at 766 (criticizing the intent test of Johnson as the kind of divergence from
established law which is better suited for the legislature “through the scrutiny of public hearings and debate.”).
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any constitutional or statutory declaration,” Alcazar v. Hayes, 982 S.W.2d 845, 851 (Tenn.
1998)—indeed, in this case we have crafted a judicial rule, albeit a particularly narrow one which
we find to be consistent with policy implicit in the Tennessee Code—for us to declare a policy of
sweepingly general and administratively grave effect based on the very narrowly circumscribed data
before us in this controversy would cause us to intrude upon the legislative function, see Cavender
v. Hewitt, 239 S.W. 767, 768 (Tenn. 1922).11
B. Custody and Child Support
Having determined that Cindy is the children’s legal mother, we now review the juvenile
court’s decisions concerning comparative fitness, custody, visitation, and child support, which the
Court of Appeals affirmed. Our standard of review in child custody cases is de novo upon the record
of the trial court with a presumption of correctness, unless the evidence preponderates otherwise.
See Tenn. R. App. P. 13(d); Hass v. Knighton, 676 S.W.2d 554, 555 (Tenn. 1984).
The paramount consideration in child custody cases is the child’s best interests. Tenn. Code
Ann. § 36-6-106(a) (2001); Lentz v. Lentz, 717 S.W.2d 876, 877 (Tenn. 1986). In disputes between
legal parents,12 we determine a child’s best interests in light of the comparative fitness of the parents,
see Parker v. Parker, 986 S.W.2d 557, 562 (Tenn. 1999); Bah v. Bah, 668 S.W.2d 663, 665–66
(Tenn. Ct. App. 1983), and must take into consideration numerous factors insofar as they are
applicable, such as the following:
(1) The love, affection and emotional ties existing between the parents and child;
(2) The disposition of the parents to provide the child with food, clothing, medical
care, education and other necessary care and the degree to which a parent has been
the primary caregiver;
(3) The importance of continuity in the child’s life and the length of time the child
has lived in a stable, satisfactory environment . . .;
(4) The stability of the family unit of the parents;
(5) The mental and physical health of the parents;
(6) The home, school and community record of the child;
. . . .
(9) The character and behavior of any other person who resides in or frequents the
home of a parent and such person’s interactions with the child; and
11
W e note that model legislation exists for determining parentage where assisted reproduction and the
donation of sperm or eggs is involved. See, e.g., Uniform Parentage Act (2000), 9B U.L.A. 295 (2001) (including
new provisions covering assisted reproduction); Uniform Status of Children of Assisted Conception Act (1988), 9C
U.L.A. 363 (2001). W e express no opinion concerning the merits of these model acts.
12
Custody disputes between a parent and a nonparent involve a different standard under which “a child’s
welfare must be threatened before the state may intervene in parental decision-making.” Hawk v. Hawk, 855 S.W .2d
573, 580 (Tenn. 1993). This standard is inapplicable here because we have determined that Cindy is legally a
parent.
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(10) Each parent’s past and potential for future performance of parenting
responsibilities, including the willingness and ability of each of the parents to
facilitate and encourage a close and continuing parent-child relationship between the
child and the other parent, consistent with the best interest of the child.
Tenn. Code Ann. § 36-6-106(a)(1) to -106(a)(6), -106(a)(9) to -106(a)(10) (2001).
The juvenile court concluded that in light of all the circumstances, Charles and Cindy were
both good and caring parents. Based upon their “comparative fitness . . . as that affects the best
interests of the minor children,” the court awarded joint custody with Cindy designated as the
primary custodial parent. The court further ordered certain visitation rights in favor of Charles and
required him to continue to pay Cindy child support in the amount of $3,000 per month. Having
carefully reviewed the record, we see no reason to alter the juvenile court’s determinations in this
regard. Therefore, concerning these matters we affirm the judgments of the courts below.
III. Conclusion
We conclude that Tennessee’s parentage statutes neither provide for nor contemplate the
circumstances of this case, where an unmarried couple has employed techniques for assisted
reproduction involving third-party egg donation to produce children for their own benefit and where
dispute has arisen over the genetically unrelated gestator’s legal status as mother. Although in some
jurisdictions courts have fashioned widely applicable tests for maternity where techniques for
assisted reproduction are involved, we decline to adopt as a general rule either the intent test or the
genetic test. Consequently, we vacate the adoption of the intent test by the courts below.
Instead we affirm on separate and narrower grounds the holding of the courts below that
Cindy is the legal mother of the children C.K.G., C.A.G., and C.L.G. with all the rights and
responsibilities of parenthood. Our holding in this regard depends on the following factors: (1) prior
to the children’s birth, both Cindy as gestator and Charles as the genetic father voluntarily
demonstrated the bona fide intent that Cindy would be the children’s legal mother and agreed that
she would accept the legal responsibility as well as the legal rights of parenthood; (2) Cindy became
pregnant, carried to term, and gave birth to the children as her own; and (3) this case does not
involve a controversy between a gestator and a female genetic progenitor where the genetic and
gestative roles have been separated and distributed among two women, nor does this case involve
a controversy between a traditional or gestational surrogate and a genetically-unrelated intended
mother. In our view, given the far-reaching, profoundly complex, and competing public policy
considerations necessarily implicated by the present controversy, crafting a broadly applicable rule
for the establishment of maternity where techniques for assisted human reproduction are involved
is more appropriately addressed by the Tennessee General Assembly.
Having concluded that Cindy is the children’s legal mother, the question of estoppel is moot,
and we vacate the holding of the Court of Appeals that Charles is estopped to deny Cindy’s maternal
status. However, we affirm in full the judgments of the juvenile court and Court of Appeals
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concerning comparative fitness, custody, child support, and visitation. Costs of this appeal are taxed
to the appellant, Charles, for which execution may issue if necessary.
_____________________________________
FRANK F. DROWOTA, III, CHIEF JUSTICE
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