Doctor examining patient's back pain with hands while patient holds lower back in discomfort

SCHEDULING MADE EASY

Choose your provider, pick your time, and book online. No back-and-forth needed.

To book an appointment with your preferred provider, please visit their profile on our website and book directly at the link found under their photo!

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Proliance Surgery Center at Valley

Named Best Ambulatory Surgery Center by U.S. News for 2025

Proliance Surgery Center at Valley has been named one of the 2025 Best Ambulatory Surgery Centers fororthopedic and spine care by U.S. News & World Report. Out of thousands of facilities reviewed nationwide, only aselect few earned this honor — Proliance Surgery Center at Valley among them.

a set of keys

POA: Named Top Orthopedic & Surgical Care Provider in WA!

We are excited to announce that we have been named one of the top orthopedic and surgical care providers in Washington by Castle Connolly for 2025!

a group of surgeons performing surgery


Proliance Surgery Center at Valley

Recognized as Top 20 ASC Performing Most Knee Replacements!

POA is among the top 20 ASCs that performed the most total knee replacement procedures in U.S. in 2022, click through to view the entire list!

Introducing Our Newest Occupational Medicine Physician Assistants

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Alma Gomez, PA-C

Alma Gomez, PA-C, joined Proliance Orthopedic Associates in 2025 and, with over 20 years of experience as a certified physician assistant, brings a depth of expertise in occupational health, emergency medicine, urgent care, and clinical trials to our team.

To book an appointment with Alma, click the link below!

Book An Appointment
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Patrick Czaplicki, PA-C

Patrick Czaplicki, PA-C, joined POA in 2025 and specializes in the field of occupational medicine, treating a wide range of workplace injuries, developing comprehensive treatment plans that promote efficient recovery and a safe return to optimal health.

To book an appointment with Patrick, click the link below!

Book An Appointment

UNMATCHED
SPECIALIZED
CARE

Find the care you need, when and where you need it, with the region's most comprehensive orthopedic care.

Doctor in suit explaining spine model to patient inside bright medical office with Proliance logo

Relief for Chronic Back Pain



At Proliance Orthopedic Associates, we’re proud to provide compassionate, patient-centered orthopedic care that helps you get back to doing what you love. In this video, Dr. Gregorio shares how our team combines advanced techniques, surgical precision, and personalized treatment to restore mobility and improve quality of life.
Doctor explaining spine model to female patient in a bright office with window blinds and greenery outside.

Overcoming Debilitating Neck Pain



When pain limits your movement, every step can feel uncertain. In this video, Alicia shares how the specialists at Proliance Orthopedic Associates helped her return to an active, fulfilling life through expert orthopedic care and genuine compassion.
Orthopedic doctor in scrubs consulting a seated patient in a modern clinic room with Proliance logo visible.

A Surgery Center with Care Built Around You



At our Ambulatory Surgery Center (ASC), advanced technology meets personalized care. Our board-certified surgeons and dedicated staff deliver world-class orthopedic procedures in a comfortable, patient-focused environment — helping you heal faster and return to the activities you love.

HELPFUL RESOURCES

PATIENT SUCCESS STORIES

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I am a 77-year-old female on whom Dr. Merritt replaced my right hip on March 25, 2015. Surgery went well and his staff were very patient and professional when I did not cooperate too well when I was coming out from the anesthesia!I went home the...

- E. Arlene M.

// Andrew L. Merritt, M.D.

I can’t say enough wonderful things about Dr. Barthel and the entire Proliance Orthopedic Associates staff. I’ve never experienced such thoughtful and compassionate care from a medical facility like I have at Proliance Orthopedic...

- Jessica

Though early hip replacement is the new trend For 64 years you have been a good friend It is to thank you that I am writing this ode For you have done your best to carry my loadYou have been in London, Paris and French countryside You have been...

- Pat

Full right hip replacement by Dr. Barrett 12-19-16.  PAIN-FREE hike up Diamondhead on 7-15-17.  Thank you Proliance Team!!!!

- Brian C.

“After three decades of reoccurring back problems involving infrequent but sometimes serious sciatic nerve pain, I finally decided that I needed to find a doctor whom I could trust to give me a professional and unbiased analysis of my...

- Larry

// Chris R. Howe, M.D.

I recently dislocated my shoulder twice playing hockey and decided it was time to fix the problem before it got any worse. I had an unreal experience at Proliance Orthopedic Associates, all real nice people. Everyone helped me with getting ready...

- Tyler C.

// Craig T. Arntz, M.D.

Before I came to Proliance Orthopedic Associates I was VERY discouraged.  I was in pain every day for months, but being told nothing was wrong.  The day I met Dr. Shrivastava and Jeannie, my world brightened.  They assured me that I would get...

- Kimberly

// Niket Shrivastava, M.D.

I could barely walk. Movement–even turning in bed–was torture. This went on for years. Two hip replacements later, three months apart, and it was as if I’d been granted a new life. The surgeries, which I’d been dreading,...

- Judy

We spend our summer months traveling so I put off going to the doctor until June of 2013 when I was having so much pain that we had to cut our travel plans short and had to return home. I was told that I needed a total hip replacement, but I...

- Joy

// Andrew L. Merritt, M.D.

I had the pleasure of being a patient of Dr. Howe’s. Formerly in the Nursing/Surgical field 10+ years at Swedish and 10+ years in a Supervisory position, seeing the rapid change in healthcare, I was amazed by the kindness, compassion, and...

- Christine R.

// Chris R. Howe, M.D.