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Although the pictures on the flatscreen arrange the wall give it away: digital photos of newborns in scratch mittens, thank you notes, family Christmas cards, tiny heads cradled in grateful hands. The images float upwards and cease to exist like bubbles in champagne. In the 25 years Dr Vicken Sahakian has been practising, he has made families for thousands of the most advantaged people in the world. He has worked with Hollywood stars, although he says he is too discreet en route for tell me names. In the UK, surrogacy is legal , but surrogates can claim only expenses for carrying a child for another person. California law allows surrogates to earn a profit, and upholds the rights of intended parents over anyone else who is involved in the creation of their babies. He wears grey surgical scrubs embroidered with his name, his hair slicked back and greying by the temples. On his huge, black desk sits a glass paperweight containing a laser-engraved baby, next to a plastic uterus and fallopian tubes.

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