Adoption by married couples On September 22, 2014, Judge Edward Rubin found Louisiana's prohibition on allowing married same-sex couples to adopt to be unconstitutional and granted the first same-sex adoption in the state in
Costanza v. Caldwell. Prior to Judge Rubin's ruling, Louisiana allowed single persons to adopt and did not explicitly deny adoption or
second-parent adoption to same-sex couples. In light of the U.S. Supreme Court's decision in
Obergefell v. Hodges, married same-sex couples are entitled to the same rights, benefits and responsibilities as married different-sex couples, including full joint adoption and parental rights.
Unmarried couples In 2021, the Louisiana Supreme Court decided the case of
Cook v. Sullivan. The court gave sole custody to a child's biological mother, ruling that another woman was not the parent, even though she had been in a relationship with the child's mother at the time of the birth and had acted as the second parent for years until she and the mother ended their relationship.
Birth certificates Louisiana has successfully defended in federal court its refusal to amend the birth certificate of a child born in Louisiana and adopted in New York by a married same-sex couple who sought to have a new certificate issued with their names as parents, as is standard practice for Louisiana-born children adopted by opposite-sex married couples. On October 11, 2011, the U.S. Supreme Court rejected a request from
Lambda Legal, representing the plaintiffs in the case,
Adar v. Smith, to review the case. Louisiana birth certificates still use gender-specific terms when referring to parents; however, the
Obergefell decision provides equal access to all marriage-related rights for same-sex spouses, reaffirmed by the court in
Pavan v. Smith in June 2017. Preventing a married same-sex couple from being listed on their child's birth certificate is unconstitutional. As of 2021, the only options for parents of a Louisiana birth certificate are "mother" and "father", with there being no options for same-sex couples, but Louisiana Vital Records will still list both same-sex parents despite this, although one of them will need to be misgendered on the child's birth certificate.
Fertility Lesbian couples have access to fertility treatments and
in vitro fertilization. State law recognizes the non-genetic, non-gestational mother as a legal parent to a child born via donor insemination, but only if the parents are married.
Surrogacy is highly restricted in Louisiana. A bill passed in 2016 makes gestational surrogacy legal, but only for couples who are Louisiana residents and have both used their own gametes in the surrogacy process. Any individual or couple who needs a donor gamete (e.g., same-sex couples, infertile different-sex couples, or single individuals) cannot complete a surrogacy contract in the state. The surrogate mother cannot use her own egg. ==Discrimination protections==