This chapter studies the multifaceted and intricate nature of the ethical, social, and disability issues that are related to assisted reproduction, mainly concentrating on genetic selection, surrogacy, and the reproductive rights of disabled people. The continuous advancement of technologies, such as IVF, PGD, PGT, and CRISPR, has brought about unprecedented control over reproduction but at the same time raised concerns about eugenics, inequality, embryo selection, and the moral status of disability. The chapter contextualizes these disputes in the frame of reproductive justice, emphasizing the role of overlapping oppressions in determining the availability of reproductive care. It deals with the present-day debates about “designer babies,” the setting of severity thresholds for embryo selection, and the expressivist criticism. Additionally, it thoroughly evaluates the hurdles disabled persons encounter as intended parents or surrogates, such as medical bias, infrastructural inaccessibility, and legal loopholes. Incorporating perspectives on technology, ethics, and human rights, the chapter offers an in-depth account of today’s reproductive practices that reflect both the perplexity of the modern world and the ongoing social inequalities that have persisted for centuries.