Who names the Baby?

In our case, the Birth mom allowed us to choose the name of the baby. That Baby then was named the first name and middle name that we chose and took the birth mom's last name. So lets say the Birth Mom's name is Sarah Jones. Your name is Jim Smith. You want the babies name to be Mary Elizabeth. The Baby will leave the hospital with Mary Elizabeth Jones. When you finalize the adoption in front of the judge, the baby takes on your last name so the name will then become Mary Elizabeth Smith. If the Birth Mom will not allow you to choose the babies name, you can change the name at the finalization hearing as well.

So lets take this one step further. When you take that baby home, you have to add the baby to your insurance. That baby will be named Mary Elizabeth Jones even though your name is Smith so make sure that appears on the Insurance Card. This can be strange for a while but Mary will have your name soon enough. Best of luck