Quick Answer
Toronto and the Greater Toronto Area are home to some of Canada’s leading fertility clinics, each with different strengths. Markham Fertility Centre offers one of the most comprehensive service ranges in Ontario, combining IVF, IUI, egg freezing, genetic testing, donor/surrogacy programs, and reproductive immunology across five locations with pain-free egg retrieval. Other top clinics include TRIO Fertility, Generation Fertility, Pollin Fertility, CReATe Fertility Centre, and Hannam Fertility Centre.
What to Look for in a Fertility Clinic
Choosing a fertility clinic is one of the most important decisions in your reproductive journey. Key factors to evaluate:
- Range of services: Does the clinic offer the full spectrum (IUI, IVF, egg freezing, PGT, donor/surrogacy, immune treatments), or will you need to transfer elsewhere if your needs change?
- Physician expertise: Look for fellowship-trained reproductive endocrinologists (REI specialists)
- Lab quality and accreditation: The embryology lab directly impacts success rates for IVF, egg freezing, and embryo culture
- Comfort during procedures: Ask whether an anesthesiologist is present for egg retrieval
- OFP participation: Funded IUI (unlimited) and IVF (one cycle per lifetime) reduce out-of-pocket costs significantly
- Location and monitoring access: Fertility treatment requires frequent early-morning appointments over multiple weeks
- Inclusive care: Support for 2SLGBTQIA+ individuals, single parents by choice, and those using donor gametes
All major Toronto-area clinics participate in the Ontario Fertility Program, offer IUI, IVF, egg freezing, ICSI, and 2SLGBTQIA+ care. The real differences are in what goes beyond that baseline.
Where Clinics Truly Differ
| Differentiator | Which clinic |
| Anesthesiologist at every egg retrieval | Markham Fertility Centre (only clinic in Ontario) |
| Most locations across Ontario | Markham Fertility Centre (5 locations) |
| On-site genetics at no extra cost | Markham Fertility Centre |
| On-site dispensary | Markham Fertility Centre, Mount Sinai Fertility |
| CCRM lab (CAP accredited) | Hannam Fertility Centre (only in Canada) |
| IVI-RMA international lab affiliation | TRIO Fertility |
| Fully owned by female physcians and not private equity or corporations | Markham Fertility Centre |
| Dedicated egg freezing clinic | Evolve (TRIO’s sister clinic, only in Canada) |
| Most clinic locations outside GTA | Generation Fertility (4 locations incl. Waterloo, Newmarket) |
| Recurrent Pregnancy Loss program | TRIO Fertility (Canada’s first early RPL program) |
| Comfort-focused, non-clinical environment | Pollin Fertility |
| Natural cycle IVF / complex case specialists | CReATe Fertility Centre |
| Coast-to-coast fertility network | Generation Fertility (The Fertility Partners) |
| Comprehensive immune testing and treatment such as LIT and SCIG | Markham Fertility Centre |
| Assessment for deep endometriosis as part of the standard of care for all patients with infertility and covered by OHIP | Markham Fertility Centre |
| All female REI team | Markham Fertility Centre |
This format makes it easy to match your priorities to the right clinic.
Clinic Profiles
Markham Fertility Centre
- Five locations (Markham, Barrie-Innisfil, Oshawa, Orillia, Sudbury), the widest geographic reach of any Ontario fertility clinic
- Pain-free egg retrieval with an anesthesiologist at every procedure, for both funded and private cycles
- Full-service offering: IVF, IUI, egg/sperm/embryo freezing, PGT-A and PGT-M, donor egg and sperm programs, gestational surrogacy, and reproductive immunology for recurrent implantation failure
- On-site genetics program with counselling at no additional cost
- On-site dispensary for fertility medications
- Inclusive 2SLGBTQIA+ family planning with a dedicated care pathway
- All-female team of five reproductive endocrinologists, Accreditation Canada certified, established in 1990, over 12,000 families supported
TRIO Fertility
- One of Canada’s longest-established practices with 40+ years and over 100,000 patient cases
- Home to Canada’s first early Recurrent Pregnancy Loss (RPL) program
- International lab affiliation with IVI-RMA
- Affiliated with Evolve, Canada’s only dedicated egg freezing clinic
- Largest in-house fertility team in Canada
- Online support groups led by trained fertility counsellors
Generation Fertility
- Four locations across Ontario (Toronto/Vaughan, Newmarket, Waterloo), strong coverage outside the GTA
- Part of The Fertility Partners network, Canada’s largest coast-to-coast network of fertility practices
- Transparent pricing published online with detailed cost breakdowns
- Strong focus on patient education and financial counselling
- Broad physician team with diverse subspecialty expertise
Pollin Fertility
- Designed to not look or feel like a typical fertility clinic, with a modern, wellness-oriented environment
- Features like vein light technology for blood draws, private changing rooms, and a custom mobile app
- Strong egg freezing program with a focus on reproductive autonomy
- Currently offering OFP-funded IVF with no waitlist
CReATe Fertility Centre
- 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
- Competitive pricing across IVF, egg freezing, and FET
- Established in 1999 with deep roots in the Ontario fertility community
Hannam Fertility Centre
- Home to the only CCRM lab in Canada, accredited by the College of American Pathologists (CAP)
- One-Day Work Up condenses standard fertility testing into a single visit
- In-house naturopathic team (A to Z Fertility) for a multidisciplinary approach
- Strong choice for patients who prioritize internationally accredited lab protocols
Funding and Financial Support in Ontario
Ontario residents benefit from one of Canada’s strongest fertility funding frameworks:
- Unlimited funded IUI cycles through the OFP
- One funded IVF cycle per lifetime for eligible residents under 43
- Funded fertility preservation for medical indications (e.g., cancer)
- Ontario Fertility Treatment Tax Credit (effective January 2025): 25% of eligible expenses up to $5,000/year, refundable and stackable with federal medical expense credits
- Initial consultations and most diagnostic testing covered by OHIP
All six clinics listed above participate in the Ontario Fertility Program.
FAQ
Do I need a referral to see a fertility clinic in Toronto?
Most clinics require a referral from a family physician or OB-GYN. Some also accept self-referrals. Once referred, the clinic schedules your initial consultation, which is typically OHIP-covered.
Which Toronto fertility clinic has the shortest IVF waitlist?
Wait times change frequently. Several clinics (including Pollin and Hannam) currently advertise no waitlist for funded IVF. Contact clinics directly for the most current availability.
Can I switch fertility clinics mid-treatment?
Yes. Patients can transfer to another OFP-participating clinic at any time without losing eligibility. Your new clinic will request your records and continue your care. However if one clinic has submitted eligibility to the OFP program, another clinic cannot start a funded cycle until eligibility is rescinded by the first clinic.
How do I decide which clinic is right for me?
Match your top priority to the clinic that excels in that area: geographic convenience (MFC or Generation), retrieval comfort (MFC), lab accreditation (Hannam), specialized programs (TRIO’s RPL), clinic atmosphere (Pollin), or complex case expertise (CReATe). A consultation at one or two clinics can help you assess the fit firsthand.