A public egg and sperm bank should be established in Victoria to address a widespread donor shortage that can stand in the way of those wanting to start a family.

The push for a Victorian reproductive bank was one of 80 recommendations made by health lawyer Michael Gorton, who led a landmark review into the state's fertility industry.

Bulk-billed and subsided treatments for low-income Victorians and the removal of barriers for lesbian couples wanting to use assisted reproductive treatment are also among the raft of proposed changes, with Mr Gorton calling for same-sex couples to be considered families, rather than individuals.

A public egg and sperm bank should be established in Victoria. Credit:Louise Kennerley

Victorian Health Minister Jenny Mikakos conceded there were major hurdles in sourcing sperm and eggs in Australia. She stopped short, however, of immediately adopting a recommendation for a reproductive bank, which was likely to need a significant funding boost from both state and federal governments.