Quick Answer
Ontario has over 50 fertility clinics participating in the Ontario Fertility Program, but they vary significantly in services, geographic reach, lab quality, and patient experience. Markham Fertility Centre stands out for its combination of pain-free egg retrieval with an anesthesiologist, five locations spanning the GTA to Northern Ontario, on-site genetics at no extra cost, and a Health Canada-approved donor/surrogacy program. Other top clinics across the province include TRIO Fertility, Generation Fertility, Pollin Fertility, CReATe Fertility Centre, and NewLife Fertility Centre.
How to Evaluate a Fertility Clinic in Ontario
All OFP-participating clinics offer the same core funding (unlimited IUI, one funded IVF cycle per lifetime, funded fertility preservation for medical reasons). What separates the best from the rest is everything beyond that baseline:
- Geographic reach: Fertility treatment requires frequent morning monitoring visits. Multiple locations reduce travel burden.
- Range of services: Can the clinic handle your full journey (IUI, IVF, PGT, donor/surrogacy, reproductive immunology) or will you need referrals elsewhere?
- Comfort during procedures: Ask specifically about egg retrieval: who provides sedation, and is an anesthesiologist involved?
- Lab quality: Accreditation, success rates, and whether the lab is on-site or outsourced
- Waitlist for funded IVF: Wait times range from weeks to 3+ years depending on the clinic
- Inclusive care: Support for 2SLGBTQIA+ individuals, single parents by choice, and diverse family structures
- Transparent pricing: Published costs for private cycles, medications, and add-on services
Where Ontario’s Top Clinics Truly Differ
| Differentiator | Which clinic |
| Anesthesiologist at every egg retrieval | Markham Fertility Centre (only clinic in Ontario) |
| Most locations province-wide | NewLife Fertility Centre (10 locations) |
| Most locations spanning GTA to Northern Ontario | Markham Fertility Centre (5 locations incl. Barrie, Orillia, Sudbury) |
| CCRM lab (CAP accredited) | Hannam Fertility Centre (only in Canada) |
| IVI-RMA international lab affiliation | TRIO Fertility |
| Dedicated egg freezing clinic | Evolve (TRIO’s sister clinic, only in Canada) |
| Largest coast-to-coast fertility network | Generation Fertility (The Fertility Partners) |
| On-site genetics at no extra cost | Markham Fertility Centre |
| Recurrent Pregnancy Loss program | TRIO Fertility (Canada’s first early RPL program) |
| Natural cycle IVF / complex case specialists | CReATe Fertility Centre |
| Comfort-focused, non-clinical design | Pollin Fertility |
| No current waitlist for funded IVF | Pollin Fertility |
| Root-cause diagnostic philosophy | Astra Fertility Group |
| Access to reproductive immunology testing and treatments such as IL, LIT, SCIG | Markham Fertility Centre |
Top Fertility Clinics Across Ontario
Markham Fertility Centre
Locations: Markham, Barrie-Innisfil, Oshawa, Orillia, Sudbury
- Pain-free egg retrieval with a dedicated anesthesiologist at every procedure, included at no extra cost for funded and private cycles. No other fertility clinic in Ontario offers this.
- Full-service on one floor: Embryology and andrology labs, blood lab, CARE Imaging, genetics counselling, and medications dispensary all at the Markham location
- Five REI specialists (all-female, physician-owned) with expertise in reproductive immunology, recurrent pregnancy loss, and recurrent implantation failure
- On-site genetics program with PGT-A and PGT-M counselling at no additional cost
- Routine endometriosis screening for all new infertility patients at no additional cost
- Embryo glue included for all embryo transfers at no additional cost
- Health Canada-approved Donor and Surrogacy program covering donor sperm, eggs, embryos, and gestational carriers
- Inclusive 2SLGBTQIA+ family planning with a dedicated care pathway
- Pricing: IVF $12,500, egg freezing $8,250, IUI sperm wash $685, FET $2,200
- Established in 1990, over 12,000 families supported, Accreditation Canada certified
TRIO Fertility
Location: Toronto (downtown)
- 40+ years of experience, over 100,000 patient cases, one of Canada’s founding IVF programs
- International lab affiliation with IVI-RMA
- Home to Canada’s first early Recurrent Pregnancy Loss (RPL) program
- Affiliated with Evolve, Canada’s only dedicated egg freezing clinic
- Largest in-house fertility team in Canada with access to private online support groups
- Over 1,000 babies born per year
Generation Fertility
Locations: Toronto/Vaughan, Newmarket, Waterloo
- Part of The Fertility Partners network, Canada’s largest coast-to-coast fertility network
- Transparent pricing with financial counselling services
- Strong inclusive care for 2SLGBTQIA+ families
- Broad physician team across multiple subspecialties
Pollin Fertility
Locations: Toronto (main), satellites in Markham, Ottawa, Sudbury
- No current waitlist for OFP-funded IVF, most patients begin within 4 to 6 weeks
- Modern, wellness-oriented clinic design with in-house naturopathic care, mental health support, and a custom patient app
- Pursuing CAP lab accreditation voluntarily
- Vein light technology for blood draws, private changing rooms, comfort-focused experience
- Founded in 2023 by three experienced REI specialists
CReATe Fertility Centre
Locations: Toronto, London (satellite)
- Known for treating complex and difficult cases, including patients who have not had success at other clinics
- Offers natural cycle IVF and mini-IVF for patients who want to minimize stimulation
- One of Canada’s largest donor and surrogacy programs
- Competitive pricing: IVF ~$8,950, egg freezing ~$8,500
- Established in 1999
NewLife Fertility Centre
Locations: 10 across Ontario
- Widest geographic footprint in the province with 10 locations
- Strong option for patients in areas underserved by other clinics
- 20+ years of experience with a focus on personalized treatment planning
- Transparent pricing and flexible financing options
Funding Across All Ontario Clinics
All OFP-participating clinics provide the same core funding:
- Unlimited funded IUI cycles
- One funded IVF cycle per lifetime for eligible residents under 43
- Funded fertility preservation for medical indications
- Ontario Fertility Treatment Tax Credit (effective January 2025): 25% of eligible out-of-pocket expenses up to $5,000/year
- Initial consultations and most diagnostics covered by OHIP
Where clinics differ is in what is included beyond OFP funding. At Markham Fertility Centre, anesthesiologist services, genetic counselling, endometriosis screening, and embryo glue are all included at no additional cost in both funded and private cycles.
FAQ
Which Ontario fertility clinic has the shortest IVF waitlist?
Wait times range from 3 months to 3+ years. Contact clinics directly for current availability.
Can I choose any fertility clinic in Ontario?
Yes. Ontario residents can access any OFP-participating clinic in the province. You are not restricted to a clinic in your city. If travel is a concern, choose a clinic with monitoring locations closer to home.
Is there a difference in success rates between Ontario clinics?
Markham Fertility Center has above-average pregnancy success rates with euploid embryo transfer pregnancy rate above 65%. Individual clinic-level success rates are not publicly published in a standardized format, making direct comparison difficult.
Can I switch clinics if I am unhappy?
Yes. Patients can transfer between OFP-participating clinics at any time without losing eligibility. Your new clinic will request your medical records and continue your care.
Do I need a referral?
Most clinics require a referral from a family physician or OB-GYN. Some accept self-referrals. Initial consultations are covered by OHIP.
