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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Dr. Shrivastava is very polite, caring, and positive.  I feel that he is truly concerned about my well-being. Jeannie (his medical assistant) is always cheerful and helpful, she is very efficient too. Since coming to Proliance Orthopedic...

- Margaret

// Niket Shrivastava, M.D.

Five years ago I had my right knee replaced by Dr. Barrett. When my left knee started going out, I knew I needed to make another appointment at Proliance Orthopedic Associates to see. Dr. Barrett.  My first appointment was with PA-C Jana...

- Thomas

// Timothy B. Alton, M.D.

Victor is no stranger to shoulder pain. Ten years ago Victor had surgery to repair his right rotator cuff. Then pain in both shoulders was again limiting Victor’s mobility and active lifestyle. His family physician referred him to VOA...

- Victor

// Craig T. Arntz, M.D.

“I was diagnosed with a very sever rotator cuff tear and I was referred to Dr. Arntz from my doctor at MultiCare. I cannot be more thankful and blessed to have had Dr. Arntz perform my surgery. He is so dedicated to doing the best job he...

- Diane

// Craig T. Arntz, M.D.

August, 2015As a 64 year old active male who has been in pain for the past couple of years, I scheduled an initial appointment with Dr. Andrew Merritt. I immediately had confidence in his ability to “help” me with getting back to my regular...

- Kenneth

// Andrew L. Merritt, M.D.

The pain I was having in my hand started in March while I was clipping limbs off of a tree.  By April my hand started to swell up so I went to my doctor who first referred me to physical therapy.  I attended 9 sessions with the therapist, who...

- Karen

// John Howlett, M.D.

I was living in constant pain, 24 hours a day for years! Before I met Dr. Merritt I was always limping and was limited on the activities that I could do with my young daughter, especially after a full day of work. I had seen other doctors who...

- Abeslin C.

// Andrew L. Merritt, M.D.

After years of painful arthritis keeping them from the activities they enjoy in life, VOA patients share their joint replacement journeys.Edward James, a retired high school principal, lived with the pain of arthritis for nearly four years before...

- Edward

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.

Dear Dr. Merritt: I am 77 years old and had been fighting a steady decline and use of my right knee due to continuing pain for several years. I tried various treatments that were temporary at best. Several of my friends had gone through a similar...

- Clayton and Joann

// Andrew L. Merritt, M.D.