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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Growing up, I was always very active in sports and a gymnast for many years. At 46 years of age, an old shoulder injury, aggravated by my occupation, brought my life to a stand-still. I was walking around with my hand in my pocket to ease the...

- Sandra

// 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.

Dr. Cero has successfully operated on my youngest daughter Rebecca, my wife Lyn, and me on five  occasions. I had three “industrial incidents” that created much pain in my left knee on one occasion and my right knee on 2 occasions. After...

- James

I was referred by someone whose coworker had surgery by a different surgeon from Proliance Orthopedic Associates. When I was ready to schedule my appointment, that particular surgeon’s schedule was full, so I saw Dr. Merritt instead.Based on my...

- Lynn

// Andrew L. Merritt, M.D.

I first met Dr. Howlett in the ER when I broke my shoulder, he was the on-call doctor and I’m very glad that he was. He did surgery on my shoulder and was extremely thorough in explaining the injury as well as what needed to be done to fix it....

- Betty M.

// John Howlett, M.D.

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.

I injured my right knee and ankle while racing motocross back in August of 2014. I was trying to ‘look young’ and ended up colliding with another racer and landing on my right side. I went to Valley Medical Center where I was placed into a...

- Ken

// Andrew L. Merritt, M.D.

Dear Dr. Cero. Our Hero!! I have tried many times to find the words to say how much you have improved George's ability to walk. Every step he takes I think of you with excitement. How can I express our profound gratitude in the future of...

- Gin and George

Dr. Huang and Medical Team,Since my surgery last October 2010, I wanted to share my adventures on the road to recovery and provide photo evidence. You cleared me to start getting back into jogging at 16 weeks post-up.April 2011 (24 wks) :...

- Mae

// Fredrick S. Huang, M.D.

Firstly, I can’t express in writing or words my gratitude and thanks for Dr. Andrew Merritt. Dr. Merritt’s surgical skills and genuine / sincere care demonstrated for his patients’ orthopedic wants, needs and desires is quite remarkable....

- Michael Q

// Andrew L. Merritt, M.D.