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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I was referred to Proliance and Dr. Howlett due to a fall I took where I fractured my left arm just below the shoulder. When I first went in to see him I was in quite a bit of pain. The people who worked with me were very conscientious of that...

- Carolyn M.

// John Howlett, M.D.

I had the pleasure of being a patient of Dr. Howe’s. Formerly in the Nursing/Surgical field 10+ years at Swedish and 10+ years in a Supervisory position, seeing the rapid change in healthcare, I was amazed by the kindness, compassion, and...

- Christine R.

// Chris R. Howe, M.D.

Dear Doctor Arntz,I have finished my course with Christine and Jan at the Kent gymnasium center. What superb and sensitive therapists they are! Never a moment wasted in trying to discern what to do, using my right side and shoulder. They already...

- Herb Coursey

// Craig T. Arntz, 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 had degenerative disc in my right hip and suffered for four to five years in pain with the last two or three years being unbearable. I couldn’t tie my shoes, sitting in the car was difficult, and I could no longer participate in yoga classes...

- John

// Andrew L. Merritt, M.D.

I am writing this letter to thank Proliance Orthopedic Associates and Dr. Susan Cero for making my joint replacement surgery a complete success. The surgery was performed on May 18, 2015. The outcome is much better than expected. The joint...

- Jana T.

I was really taken back by Dr. Thompson because he did everything in a compassionate and quick manor. I had a ruptured disc in my back; I was in a lot of pain and could hardly walk. Dr. Thompson had quickly ordered an MRI on my back and then did...

- Beverly W.

// Jason H. Thompson, M.D.

I am enthusiastic to share my patient experience with Dr. Barrett and Proliance Orthopedic Associates, and to inform other people who have an interest in seeking the best care for their hip related issues.I am an experienced war horse, so to...

- Stefan

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

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.