ABSTRACT
This chapter discusses how both professionals being active in the ART field, in reproductive medicine, and actors outside of the "inner circle" of biomedicine work to disrupt institutions and the present regime which makes it possible to open up for new activities and for new groups to advance their interests. The term "disruption" stresses a moment and quite violent overturning of specific regime, but as the empirical data reported indicate, disruptive institutional work is not so much a matter of storming the Bastille as it is of participating in relatively civil and ongoing conversations. The chapter continues by examining how actors in the field shaped the legal environment, including: the role of legal and regulatory frameworks of practice, legal enforcement, how professionals shape the policy-making process and the sources of regulatory debates. Also, debates and critique of the legal environment and the work of patient and activist groups, with the example of gay couples advocating commercial surrogacy are further examined.
