Absolutely not! EDCD works with people from all over the world. If you are chosen by one of our recipient couples, you'll need to come to a major city in Texas, Oklahoma or Arkansas. (This would most likely be Dallas, Houston, San Antonio, Austin, El Paso, Tulsa, St. Louis, Kansas City, Oklahoma City or Little Rock.) Travel expenses, including those of a traveling companion for your retrieval, are paid for by the couple that chooses you. The first time would be for one day for the initial medical and psychological exams, the second time would be also for one day for the second medical evaluation required by the FDA, and the third time would be for 4-5 days for egg retrieval. It's that easy!