Uterus transplantation as radical reproduction: taking the adoption alternative more seriously

Mianna Lotz*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)


This paper urges reconsideration of analyses of the alternatives to reproductive uterus transplantation (UTx). I focus here specifically on the adoption alternative. Importantly, my purpose is not to oppose UTx provision. Rather, it is to propose ways in which ethical analysis and provision of UTx can potentially accommodate the concerns discussed here. I argue that the adoption alternative to UTx is too readily dismissed, and that this is a dismissal with significant moral costs. I suggest that the radical nature of UTx as a form of assisted reproduction calls for an equivalently radical socio-moral agenda for reform and transformation of adoption law, policy and practice, as well as of the norms that prevail within our presently strongly bio-normative reproductive context. In doing so I widen the ethical frame of responsible provision of assisted reproduction to encompass not just obligations towards donors and recipient, but also our broader social responsibilities to ensure that we are doing our best to meet the significant needs of some of the most vulnerable members of our society.

Original languageEnglish
Pages (from-to)499-508
Number of pages10
Issue number8
Early online date20 Jul 2018
Publication statusPublished - Oct 2018


  • Adoption
  • Assisted reproduction
  • Ethics
  • Reproduction
  • Uterus transplantation


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