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!

Surgeons in blue scrubs and masks collaborate in an operating room during surgery.


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!

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.

PATIENT SUCCESS STORIES

View more

In November 2014, my step son was getting married and all I wanted to do was be able to walk down the isle and be able to dance at his wedding. Fortunately, I was able to do these things, but due to the pain it was difficult. The pain I felt in...

- Pamela

// Andrew L. Merritt, M.D.

We spend our summer months traveling so I put off going to the doctor until June of 2013 when I was having so much pain that we had to cut our travel plans short and had to return home. I was told that I needed a total hip replacement, but I...

- Joy

// Andrew L. Merritt, M.D.

I came into Proliance Orthopedic Associates to see Dr. Shrivastava because I was unable to lift anything more than a couple of pounds without severe pain in my thumbs. Dr. Shrivastava was very caring and professional. He explained every option...

- Nancy

// Niket Shrivastava, M.D.

Before I came to Proliance Orthopedic Associates I was VERY discouraged.  I was in pain every day for months, but being told nothing was wrong.  The day I met Dr. Shrivastava and Jeannie, my world brightened.  They assured me that I would get...

- Kimberly

// Niket Shrivastava, 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.

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 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.

I take this time to share with you feedback about my experience with Proliance Orthopedics. Over the course of time, I worked with doctors and physician assistants at Proliance to address problems associated with my hip and back. Dr. Chilczuk,...

- Joy K.

// Andrew L. Merritt, M.D.

I finally decided to do something serious about my basketball knee (surgery in 1978 to remove part of meniscus cartilage), injured from playing at 45 long after I should have quit. So, I had knee replacement about 1 year ago – Sept 9, 2014....

- Eugene W.

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.