Traditional surrogacy (also called the Straight method): In a traditional surrogacy, the surrogate becomes pregnant with her own biological child, which has been conceived with the intended biological father or donor sperm. Conception may occur in a number of ways, from sexual intercourse to at-home artificial insemination or by various forms of clinical in vitro fertilization (though it is rare for most fertility doctors to assist in a traditional surrogacy due to the ethical and legal issues). In most states, the legal process actually involves establishing paternity and a stepparent or second parent adoption by the intended mother or partner of the legal father. Because the surrogate has genetic connection to the baby, like a traditional birth mother, her parental rights are protected under law and she has to consent to the placement/relinquishment of the child. Fees and compensation for a traditional surrogacy may also be limited by applicable state adoption laws. This process has greater medical, legal and ethical risks than a gestational surrogacy and could lead to protracted litigation in the event the surrogacy arrangement between the parties deteriorates.