The New Zealand Human Assisted Reproductive Technology Act 2004 (HART Act) prohibits commercial surrogacy but does allow for altruistic clinic-assisted surrogacy. Couples wishing to attempt altruistic surrogacy must apply for approval to a statutorily appointed ethics committee. These researchers reviewed the outcomes of surrogacy applications since the HART Act was established and the uptake of surrogacy by Māori. Of 104 applications for surrogacy between 2005 and 2010, 4 (3.8%) were declined. By July 2011, of 100 approved, there were 26 (26%) live births; 52 (52%) were discontinued, and 22 (22%) were ongoing. Māori are much less likely to utilise surrogacy. Of the 104 original applications, 9 (8.6%) Māori women were willing to act as a surrogate, and 2 (1.9%) were intended mothers. Seven (6.7%) Māori were partners of a surrogate, with 2 (1.9%) intending mothers having Māori partners