Best fertility clinic in Ontario: What options to explore

Ontario has one of the most developed fertility care facilities in Canada, with clinics offering IVF, fertility preservation, preimplantation genetic testing (PGT), and more. Still, the best fertility clinic in Ontario ultimately depends on your specific treatment needs.

The right way forward is to first understand your fertility history and expectations, and then find a clinic that can improve your chances of success. To help you get started, we’ve reviewed some of the top fertility clinics in Ontario.

Fertility treatment in Ontario: What to know before clinic selection

According to data shared by Procrea, roughly 8–15% of Canadian couples experience difficulty conceiving and seek fertility treatment to build their families. Treatments like IVF can help, but every patient should have their care tailored to their unique fertility circumstances.

Besides personalization, clinic selection decisions in Ontario are paired with two key considerations:

1. Cost aspects

2. Success rates

1. Cost and funding for fertility treatment in Ontario

To address cost barriers, Canada offers patients financial support options that can be accessed through fertility clinics for specific treatments. At the federal level, the Medical Expense Tax Credit (METC) allows many fertility-related costs to be claimed as eligible medical expenses, such as: 

• IVF procedures

• Intrauterine insemination (IUI)

• Intracytoplasmic sperm injection (ICSI)

• Fertility medications

• Embryo and gamete storage

• Certain travel costs (if parents must travel over 40 km to receive care)

Ontario offers additional support through provincial programs, which can inform clinic selection:

1. The Ontario Fertility Program provides publicly funded fertility services, although approved clinics have their own waitlists depending on available funding. The province recently committed $250 million to expand the program, which means you’ll likely be able to access treatment through eligible Ontario clinics faster.

2. Additionally, Ontario introduced a refundable Fertility Treatment Tax Credit beginning in the 2025 tax year. This credit covers 25% of eligible fertility expenses up to $20,000 annually, providing up to $5,000 in financial support for fertility services like IUI and IVF, egg and sperm freezing, and surrogacy.

Source: RDNE stock project

Bonus reads:

• Can you choose your baby’s sex with IVF?

• What rules apply to sex selection in Canada?

2. Success rates of IVF treatment in Ontario

When evaluating an Ontario fertility clinic, you should also look into its success rates.

2020–2021 data on IVF success rates in Canada show that 49.6% of IVF cycles that included at least one embryo transfer resulted in a clinical pregnancy.

Still, outcomes are strongly influenced by age. For individuals under 35, the clinical pregnancy rate rises to nearly 60%. The cumulative live birth rate, which reflects the likelihood of having a baby after IVF treatment, averages 37.1% overall, increasing to 47.5% for parents under 35.

However, detailed success rates for individual clinics are not publicly available, making direct comparisons challenging. Fertility treatment outcomes in the country are tracked through the Canadian Assisted Reproductive Technologies Register (CARTR Plus). In Ontario, CARTR Plus data is managed through BORN Ontario.

According to a recent CARTR Plus report:

• Live birth rates for individuals who undergo at least one embryo transfer within a year range from approximately 38% to 50%, depending on factors such as age and medical history. 

• About 3% of all births in Ontario are now conceived through IVF, up from 1.7% when national tracking began in 2014.

• The use of PGT to boost outcomes has grown significantly, and over 37% of frozen embryo transfers included PGT-A.

In terms of success outcomes, recent trends suggest an increasing preference for clinics that integrate genetic testing options, such as carrier screening and PGT, into their care processes.

Source: William Fortunato

Top 5 fertility clinics in Ontario

Prospective parents should assess Ontario fertility clinics using a combination of factors, such as:

• Physician expertise

• Access to advanced genetic testing technologies

• Cost of IVF and other fertility services

• Patient experience

We’ve used the same criteria to curate a list of the best fertility clinics in Ontario. The province has multiple clinics that offer a wide range of services, from standard IVF and ICSI to donor egg cycles, IVF for lesbian and gay couples, and IVF with gestational surrogacy. After exploring over a dozen options, here are five of the highly-rated fertility clinics in Ontario:

1. CReATe

2. Markham

3. TRIO Fertility

4. Hannam Fertility Centre

5. Twig

Note: Please contact the clinic for the latest details on insurance, government funding, and covered services.

1. CReATe Fertility Centre

CReATe was founded by Dr. Clifford Librach, a reproductive endocrinologist with over 30 years of relevant experience. It’s one of the longest-standing fertility clinics in Canada, with headquarters in Toronto and several satellite clinics across Ontario. The physician team is affiliated with the University of Toronto faculty.

The clinic is best suited for patients seeking comprehensive diagnostics and access to advanced genetics-based embryo selection. Its main treatment options include:

• IUI

• IVF

• Donor programs

• Egg freezing

• Oncofertility services

• Genetic testing (PGT-A, PGT-M, and PGT-SR)

• Counseling and wellness services

The center offers access to alternative therapies, such as acupuncture, diet and nutrition, massage therapy, and naturopathic medicine.

CReATe’s lab uses technologies such as the EmbryoScope time-lapse embryo-monitoring system, which helps select embryos with the highest chances of success. The facility also operates one of Canada’s largest egg donor, surrogacy, and fertility preservation programs, offering specialized services for cancer patients and LGBTQ+ families.

Parents often highlight thorough testing and physician accessibility, although there could be appointment waiting times in busy periods:

Full post: Reddit

CReATe maintains transparent pricing structures. Below is a quick breakdown (without insurance considerations):

*Pricing listed in Canadian dollars (CAD).

2. Markham Fertility Center

Markham Fertility Center is another highly recommended fertility clinic. It has over 30 years of experience serving the Ontario location and offers a full spectrum of on-site fertility services, including:

• Supported conception

• IUI and IVF

• Frozen embryo transfer (FET)

• Donor and surrogacy program

• LGBTQ+ family planning

• Fertility preservation and egg freezing

• Diagnostic imaging

• Dispensary

• Recurrent implantation failure

Many patients praise that the clinic performs egg retrieval procedures with an anesthesiologist present, allowing deeper sedation during the procedure and a significantly more comfortable experience.

Full post: Reddit

Here’s a snapshot of expected non-funded treatment costs at Markham:

3. TRIO Fertility

TRIO Fertility is one of Canada’s largest fertility providers with more than 40 years of clinical experience and 11 clinics across Ontario. The clinic has one of the largest in-house fertility teams in the country, including 13 reproductive endocrinologists and 45+ supporting medical staff.

Source: TRIO Fertility

TRIO has the longest-running on-site IVF lab in Canada. The lab employs one of the country’s largest embryology teams, with over 15 specialized embryologists, some of whom have been practicing since IVF was first introduced in Canada in the 1980s. TRIO offers a full scope of fertility treatment alongside supportive services like:

• Cycle monitoring

• Recurrent pregnancy loss care

• Fertility counseling

• Naturopathic support

• Acupuncture

• Massage therapy

The facility operates a time-lapse IVF lab to support embryo development and assessment, and also uses advanced procedures such as embryo biopsy, assisted hatching, spindle-view imaging, and micromanipulation systems.

To maintain optimal conditions for eggs, sperm, and embryos, the lab has:

• Strict quality-control procedures

• Barcode identification systems

• HEPA-filtered air systems with surgical-grade air quality

Patient reviews highlight experienced physicians, supportive nursing staff, and successful outcomes, though some report administrative delays or communication challenges typical of larger clinics. Some reviewers recommend Trio but also feel that patients are often treated more like a number, which can impact individualized care.

The pricing for common fertility treatments at TRIO Fertility is competitive and aligned with the local market:

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4. Hannam Fertility Centre

Hannam Fertility Centre is a Toronto-based clinic with a multidisciplinary approach to fertility treatment. The team includes reproductive endocrinologists, fertility-focused family physicians, nurse practitioners, embryologists, and wellness specialists, providing end-to-end care.

Along with naturopathic support through its A to Z Fertility program, which provides lifestyle guidance, supplements, and acupuncture, Hannam offers various fertility services, including:

• Fertility testing

• Cycle monitoring

• IUI, IVF, and ICSI

• Egg and embryo freezing

• PGT-A

One of Hannam’s most notable qualities is its CCRM-affiliated IVF laboratory, the only CAP-accredited fertility lab in Canada. The clinic has strict quality and safety standards and emphasizes evidence-based care and protocols that follow the latest research.

Parents report clear communication, supportive staff, and exceptional organization. Some also note shorter wait times compared to other clinics. One reviewer highlights the clinic’s reputation for strong IVF lab performance:

Full post: Reddit

Hannam is covered by the Ontario Health Insurance Plan (OHIP) and participates in the Ontario Fertility Funding program. Here are some blanket CAD treatment prices at this establishment (the actual costs depend on your care plan and financing options):

5. Twig Fertility

Twig Fertility can also be an excellent option for a fertility clinic in Toronto. It promises a streamlined patient experience and advanced lab capabilities.

Twig adopts a whole-person approach to fertility care, offering emotional, physical, and mental health support alongside comprehensive medical treatment, as follows:

• Fertility consultations and second opinions

• Lower intervention care (timed intercourse and IUI)

• Egg and sperm freezing

• LGBTQ+ family building support

• Reproductive urology

• Acupuncture

• Nutrition guidance

Twig’s on-site IVF lab features several advanced technologies that optimize embryo development and improve treatment insights. These include:

• Time-lapse incubators

• AI-assisted embryo and egg analysis

• Electronic tracking systems to eliminate the risk of human error

• MyEmbryoViewers for parents to watch the footage of their embryo development

The lab is equipped with LifeAire hospital-grade air purification technology, which helps remove airborne toxins and pathogens that could impact embryo development. Twig also aims to simplify logistics for parents by offering an on-site pharmacy and digital appointment booking. 

Patient feedback supports many of these promises, highlighting responsive staff, minimal wait times, and a supportive, patient-centered environment. One person noted that the clinic prioritizes patient autonomy in treatment decisions and avoids pushing more intensive procedures when less invasive options remain viable.

Full post: Reddit

Below are approximate base costs at Twig Fertility in Toronto* (without medications): 

*Twig also has a clinic in Vancouver that may offer different pricing and coverage.

How to choose the best IVF clinic in Ontario for you

Even with shortlisted facilities, choosing where to begin treatment can still be challenging. Many Ontario IVF clinics offer similar core services but differ significantly in lab technologies, care models, physician expertise, and waiting times. And because clinic-level success rates aren’t transparent in Canada, you’d need to pay special attention to how the clinic helps you make important decisions. Keep these questions in mind as you consult clinics:

• How thorough is the clinic’s initial assessment?

• Do physicians offer carrier screening to help parents understand genetic predispositions?

• How personalized is your treatment plan?

• Are your genetic predispositions considered during decision-making?

• Do you have enough agency when choosing which embryos to transfer?

• Do you get enough information and tools to have a healthy baby?

Genetic testing is one of the key advancements that prospective parents should ask for during any fertility treatment. Nucleus works with multiple clinics worldwide to make genetics-integrated fertility and IVF care more accessible.

Nucleus offers at-home and on-site tests that can help parents understand their genetic profile, including the disease risks and traits they could pass on. Particularly, the Nucleus Embryo product gives you a one-of-its-kind software to compare embryos for their health and well-being potential.

Nucleus: Preconception and IVF care with genetic optimization

Nucleus offers advanced genetic analysis developed to support IVF and fertility care. By combining preconception screening, embryo analysis, and partnerships with fertility clinics, Nucleus aims to help future parents navigate complex decisions around embryo selection and reproductive planning, allowing them to have their best baby, whether they’re conceiving naturally or through IVF.

If you’re planning your family or considering IVF, here is what’s included in Nucleus Embryo:

1. Undergo preconception carrier screening with Nucleus Preview

2. Discover deeper genomic insights with Nucleus Embryo

1. Undergo preconception carrier screening with Nucleus Preview

For more than 50 years, carrier screening has focused mainly on rare single-gene disorders, which account for only about 3–5% of the total disease burden. Many common conditions, including heart disease, diabetes, and several cancers, are polygenic and influenced by multiple genes acting together. Although the American College of Obstetricians and Gynecologists recommends carrier screening for all prospective parents, only about 20-30% of couples currently undergo the test.

We developed Nucleus Preview to make proactive, expansive carrier screening more accessible to hopeful parents. For individuals or couples considering having a baby, Preview offers preconception genetic screening to identify potential hereditary risks and traits their future children may inherit.

The test analyzes the DNA of both partners to identify carrier status for 2,000+ genetic conditions and traits, including diabetes, heart disease, height, eye color, and IQ. Nucleus Preview also offers sibling-level simulations that model how genetic risks could vary across 100 potential children based on the parents’ DNA.

This helps prospective parents understand inheritance patterns and better contextualize future embryo results. Additionally, you’ll have access to board-certified genetic counselors who can walk you through your results and help you make informed decisions about your family’s future. Fertility specialists can also use your reports to tailor IVF protocols and determine whether additional testing and monitoring are necessary for a healthy birth.

2. Discover deeper genetic insights with Nucleus Embryo

Once parents have created embryos and completed Preview, the next step is Nucleus Embryo — an advanced genetic analysis that’s presented in an intuitive format to help parents evaluate embryos for transfer.

Nucleus Embryo is a one-of-a-kind genetic optimization software that analyzes available embryo genetic data and generates reports that estimate potential health risks and inherited traits through advanced predictive models.

Within this step, Nucleus Embryo can provide:

• Interactive breakdown of embryos' predicted profiles across genetic factors and traits

• Side-by-side analysis of up to 20 embryos, sorted by your personal preferences

• Clear explanations of what your embryo insights mean

• Confidence in embryo selection, supported by deeper insights, not guesswork

Book a consultation with a Nucleus Embryo onboarding specialist to see if it’s right for you.

Here’s what kind of insights you can get with Nucleus Embryo:

*Some conditions are detected through parental screening and could require PGT-M before embryo transfer.

Nucleus is HIPAA compliant and conducts all testing in CLIA-certified, CAP-accredited labs.

Featured image: Maria Ryzhenko