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
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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Thank you so much Dr. Cero for putting me back together.

- - Kerry, Future Bike Racer!!!

I was in pain for five years before I came here. I could hardly walk because the pain in my back, butt, and leg was so severe. I went to my doctor who did some tests, and finally, he told me that I needed a hip replacement. I had my left hip...

- Sherry

// Andrew L. Merritt, M.D.

I love the ocean. I love the sights, and sounds and smells of a harbor. The birds, the sea life, the people, I love it all. My dream for retirement is to cruise harbor to harbor in my boat enjoying the sights along the way. To explore the harbor...

- James S.

We wanted to write and say thank you for your work on George’s hand injury.  It has been 2.5 years since the accident and he has regained 80-85% use of his right hand, including the ability to write and fish.  We truly believe you were an...

- George and Dottie J.

// John Howlett, M.D.

I had a really good experience with Dr. Cero and her staff. It was fantastic and I’ve had no problems since. I had so much pain when I went in and I wondered why I didn’t have this surgery three years ago. Everyone was really helpful.I am in...

- Sharon

I went in to see the skin doc for something little on my face. Really being vain. When I was talking she noticed a mole on my finger. (I hate this mole, came up after a burn) She said that looks like cancer and took a biopsy right away. It came...

- Dawn W.

// John Howlett, M.D.

The surgeries I received in 2016 were a major rotator cuff surgery from Dr. Arntz in April and a total knee replacement in June by Dr. Merritt. I was referred by Dr. David Sweiger who took the time and interest to try to help me. So glad I...

- Jay S.

// Craig T. Arntz, M.D.

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.

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 have now had 2 surgeries at Proliance and Valley Medical and they were both top notch. First was hip replacement with Dr. Barrett a few years ago. There’s a very good reason he has been on the “Top Doctor” list for so many...

- Sue W.