Not sure if this is the right place for story/lore questions but here goes.
- Why does The Institute kidnap and replace people with synths?
- What do they hope to accomplish?
- What do they do with the missing person?
Exploring dialogue options I haven't been able to discover the reasons behind beyond "For science!".
Best Answer
What do they hope to accomplish?
The Institute wants to rebuild civilization. However, they're insular, and largely cut off from the outside world. They want new civilization on their terms. The shape of this future civilization is largely colored by how the Institute's members live today. They are a scientifically literate, technologically advanced, strongly hierarchical society, with humans performing "thinking" jobs, and synth slaves performing manual labor and any tasks "beneath" humans. Human outsiders are not trusted, and generally thought of as violent barbarians. Killing them is perhaps on par with killing wild animals. They can be used to advance the Institute's goals with few moral qualms.
Most of their goals revolve around building a robust new society (under their terms, as outlined above).
Of course, like any large organization, there are disputes on what goals should be persued, and how. However, thanks to the strict hierarchy, the directors and Father have the ultimate say in the direction of the Institute. For example, one of the advanced systems terminals contains entries on research proposals. A proposal on Human Cybernetics is listed as rejected by the Director, despite the fact that the Institute pursued these avenues in the past.
Why do they kidnap and replace people with synths?
Because it advances their objectives. In many cases, this means spying on outside groups or infiltrating organizations they perceive to be a potential threat. In others, they're running experiments.
For example, one terminal outlines the Warwick Homestead Initiative:
This plan involves kidnapping and replacing with synths, as well as eventually killing a number of innocents. But it's not done just for laughs, it's strictly to advance their goals.
What do they do with the missing person?
I don't know if it's ever explicitly spelled out, but with their nonchalance toward killing outsiders, it seems likely the replaced person is "disposed of" as soon as they're no longer useful.
Source 1 - Fallout Wikia
Source 2 - Gamepedia - Institite terminals