A: The truth is that there may not be a huge difference between for-profit and nonprofit adoption agencies. The most important part is to evaluate each agency on its own merits. Does it treat expectant parents with respect and not pressure them into placement. Do they actively want to educate adoptive parents or do they treat it as a box that must be checked. Are they set up to facilitate and support open adoption, if that is an option you are considering? What is the cost and how many families are they actively trying to match. These features can be found in either for profit or nonprofit adoption agencies. Creating a Family has many resources for helping you choose the best agency for you?