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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My surgery was on May 26, 2015 (my birthday).  I was very aggressive with my rehab and was able to ski that first winter (6 months from surgery) and was already back to hiking.  Today, I do an early morning hike up Pinnacle Peak just outside of...

- Pat

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

- Joel

// John Howlett, M.D.

Dr. Merritt performed a hip replacement on my dad, who was then 90, in the spring of 2015, using the anterior approach.In my opinion, this surgery saved my father’s life. At the time, he was spiraling downhill on several fronts. Because hip...

- Richard B.

// Andrew L. Merritt, M.D.

In my early 50’s my back started bothering me. I had had a serious injury in my early 30’s and thought I may need to update my exercise routine. so, I saw a physical therapist and got regular massages. I did not experience any relief...

- Mary G.

// Chris R. Howe, M.D.

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.

“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.

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.

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

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 told by 2 surgeons that I needed both knees replaced but I’d better get them done together as it’s so painful that I’d never come back to get the second one done. I was also told that my activities would be very limited as...

- Monica F.