Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 49 8 2020 07 30 1432 1438 Sanaz MUSAVI Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Hossein MASHHADI ABDOLAHI Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran Morteza GHOJAZADEH Research Center for Evidence-Based Medicine, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran Mahdieh ABBASALIZAD FARHANGI Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Zeinab NIKNIAZ Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran Leila NIKNIAZ Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran 2019 06 08 2019 10 20 Background: This systematic review and meta-analysis of the observational studies aimed at evaluating the infertile women’s attitude toward gestational surrogacy. Methods: Published studies until Jan 2019 were searched using PubMed/MEDLINE, Scopus, EMBASE, Cochrane Library, ISI Web of Science, Proquest and Google scholar, MagIran, SID and IranMedex. Studies in English or Persian language surveyed attitudes toward surrogacy for infertile women published until Jan 2019. Animal studies and studies with poor methodological quality were excluded from the review. Results: Six eligible studies including 1359 infertile women were identified. Of these, 559 and 742 women agreed and disagreed with surrogacy respectively. The overall event rate of positive attitude for surrogacy in infertile women was %39.7 (%95 CI=24.5 to 57.1, P=0.245). Conclusion: The infertile women’s attitude toward surrogacy is not strongly positive. We believe, more studies should be conducted among different socioeconomic, religious and cultural groups. https://ijph.tums.ac.ir/index.php/ijph/article/view/17403 https://ijph.tums.ac.ir/index.php/ijph/article/download/17403/6936