American Adoptions

Why We Like It

American Adoptions is the largest fully domestic adoption agency in the country, having facilitated more than 13,000 adoptions. Their financial protection guarantee — which allows families to re-enter the program at no extra charge if a match falls through — sets a high ethical standard. Prospective parents seeking a domestic infant adoption with predictable costs and strong caseworker support will find this agency hard to beat.

Pros & Cons

Pros

• One of the highest placement rates of any domestic agency in the U.S.
• Detailed cost breakdowns and financial protection guarantees
• 24/7 caseworker availability throughout the process

Cons

• Higher total cost than smaller regional agencies
• Primarily focuses on domestic infant adoption — limited for other paths

Score Breakdown

Adoption agencies were evaluated on placement track record, the depth of support provided to adoptive families before and after placement, transparency of fees and timelines, and ethical practices toward birth parents.