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Cash Cow

How the maternal body became a global commodity – and the hidden costs for women

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Pub Date Oct 13 2026 | Archive Date Nov 3 2026

Harper 360 | HarperCollins


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Description

'Captivating, mind-boggling and deeply disturbing' – Maureen Freely

'Humane, thoughtful and urgent — this book will make you think, make you laugh, make you cry, but also make you burn with rage' – Dr Mary Wellesley

A thought-provoking deep dive into the global fertility industry and the commodification of the maternal body

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Should surrogacy be a paid service, an altruistic act – or even legal at all?

Is it right that you can pay more for ‘VIP’ egg donors – and to view their photos?

How much, if anything, should breastmilk cost – and who should be allowed to buy it?

The global fertility industry is rapidly growing, hugely profitable and morally complex. This an industry where one person’s biological bad luck can be another person’s financial gain. From egg freezing to black-market breastmilk, the maternal body has never been more commodified, yet the ethical, emotional and economic implications are rarely considered.

Through a combination of undercover reporting and detailed first-hand accounts Alev Scott exposes how the IVF, surrogacy and milk industries operate around the world and who is profiting. In doing so, she considers the blurred line between exploitation and empowerment. Who should make money from the maternal body: only the women themselves, anyone or no one?

Timely, thought-provoking and compelling, Cash Cow is an unmissable investigation into how desire, desperation and commerce intersect, and the impact the fertility industry has on individuals.

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‘A powerful, intimate and disturbing exploration of the hidden markets built on women’s bodies' Professor Peter Frankopan

'An absolute must read for anyone considering surrogacy; a compelling and thought-provoking book for everyone else' Jack Farchy, co-author of The World for Sale

'Captivating, mind-boggling and deeply disturbing' – Maureen Freely

'Humane, thoughtful and urgent — this book will make you think, make you laugh, make you cry, but also make you burn...


Available Editions

EDITION Hardcover
ISBN 9780008724948
PRICE $32.00 (USD)
PAGES 320

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Average rating from 4 members


Featured Reviews

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Essential reading. I learned so much about this topic that I didn’t know. Well-written and intelligent, but accessible. Also, engaging. This is a must-read for anyone interested in the intersections of misogyny, motherhood, and capitalism.

Thanks to NetGalley and the publisher for the ARC.

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Fascinating subject. While I had obviously known the broad strokes of the breast milk market, egg donation/freezing, and surrogacy, I never thought about the intricate details. This book answered questions I never knew I had. Such as, what are the laws concerning these issues in different countries? How does breast milk donation differ globally? What happens to surrogates when war breaks out? Can parents or surrogates change their minds after the fact? What are the legal protections for surrogates? What happens if pregnancy complications renders the surrogate infertile? So many questions came to my mind (and were answered) while I was reading.

The author writes in such a way that you are never bored. The material isn’t presented in a dry way, and is often linked back to her own experiences with motherhood. This gives a comparison between personal and business. While the labor (no pun intended) are often the same, the motivations and emotions involved are very different. It’s nice to get this perspective, especially if you have not experienced it for yourself. The research was very thorough and I really appreciated the author going undercover as a potential client to uncover details that would otherwise be unknown. Very enlightening read.

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Fantastic book that actually tries to think through the ethical dilemmas involved in commercializing aspects of the pregnant body and experience with supporting evidence. I admired that it doesn’t shy away from questions that should be asked but because of their nature can’t be definitively answered. It made me think as much as it informed me. Some haunting anecdotes that I’m still thinking about days later.

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