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!

Surgeons in blue scrubs and masks collaborate in an operating room during surgery.


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

Smiling woman with shoulder-length brown hair wearing a black blazer and pink top against a blue background

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
Smiling bald man with gray beard in business suit and striped tie on blue background

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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Dr. BarrettAs you can see I didn’t get a hip replacement just to play golf. In 2011, I’ve climbed over 44 trees, starting in May 2011, three months after surgery. This activity is all possible because of you Dr. Barrett and staff....

- Joel Stefanski, Mindy, and family

Dr. John Howlett is awesome! I’m a traumatic brain injury patient; broken neck along with other injuries including my right hand was injured at the time of I was a passenger in an ATV accident.  I was flown from Yakima to Harborview in...

- Anita

// John Howlett, M.D.

In June 2010, I had surgery on my lower back. Until then, I was in serious and debilitating constant pain and had been for many years. I was on large dosages of pain meds that only took the edge off of the pain I was experiencing. The meds were...

- Lynne

// Jason H. Thompson, M.D.

I am so grateful to you for the surgery you did on my right shoulder!  I couldn’t be happier!  Thank you to you and Roxanne for all you have done to get me through my first surgery.  Everything was exactly as the portfolio you gave me said...

- Y.R.

// Craig T. Arntz, M.D.

I came to see Dr. Shrivastava at Proliance Orthopedic Associates because I was having shoulder pain which caused problems whenever I used my arm.  Since being treated by Dr. Shrivastava, my shoulder pain is gone which is making my life so much...

- Patricia

// Niket Shrivastava, M.D.

Dear Dr. Barrett and Team,You and your associates are my super heroes! Last week, during my vacation in Hawaii, I was able to enjoy hiking in the outdoors – 12 weeks from the time of my surgery! I hiked 2 miles in a canyon on one day and 2 days...

- Denise

In November 2014, my step son was getting married and all I wanted to do was be able to walk down the isle and be able to dance at his wedding. Fortunately, I was able to do these things, but due to the pain it was difficult. The pain I felt in...

- Pamela

// Andrew L. Merritt, M.D.

I had total hip replacement April 3, 2012. I hit the slopes for the first time today since surgery. What a difference this new hip makes! Dr. William Barrett you are the best!!!!!!

- Diana

I can’t say enough good things about Dr. Howe and his staff. I came to Dr. Howe after being told by two other surgeons that nothing was wrong with my back, and I just had a bulging disk and after injections, it would heal itself. I did...

- Samantha

// Chris R. Howe, M.D.

Joel describes his trigger finger release surgery with Dr. Howlett.

- Joel

// John Howlett, M.D.