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Louis Theroux heads to California, the US adoption capital, where the majority of newborn adoptions are carried out privately, creating a multimillion dollar industry. Agencies, facilitators and lawyers can earn thousands of dollars per baby by matching up pregnant women prepared to give up their newborns with adoptive parents willing to pay up to $50,000 for the privilege.

Louis spends time with the birth mothers preparing to hand over their own flesh and blood, uncovering the stories of poverty, addiction and abuse that can push these women into making such a heartbreaking decision.

He also meets the adoptive families, paying out huge amounts of money in the hope of being able to raise a child they can't have by natural means - but in a system open to abuse, whether the birth mum hands over the baby hangs in the balance until after the birth.