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

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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.

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.

Dear Dr. Cero,It has been a long journey from shattered clavicle to age division National Champion! Thank you & your team at Proliance Orthopedic Associates so much for being my partner in recovery!I appreciated our discussions about the...

- Kerry

My name is Annmari and I am 53.  I have been Dr. Howlett’s patient for a little over 3 years now.  I broke all three bones in my ankle and luckily Dr. Howlett was in the emergency room when I got there and he did my surgery that night.  When...

- Annmari D.

// John Howlett, M.D.

I was lucky to have had a wonderful experience today spending it in the VOA Surgery Center. From the time upon admitting, to surgery, recovery, and discharge the staff was so caring, kind, and compassionate about the patient, and the procedure to...

- Rebecca

The Comeback KidI climbed Mt Adams on Friday, July 19, 2013.This was a big event for me for 2 reasons. I am the “comeback kid” as I have had bilateral knee replacements and two rotator cuff surgeries in the last 3 years. At 62, I...

- Don

Below is a great testimonial video from our patient Donald! He said, “From the first day I walked in here I had zero pain. Not one thing that was done to me in the hospital caused me any pain.” We’re so glad that we could help Donald with...

- Donald

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 visited the Proliance office in severe pain. Forty years ago, I had been in a terrible car accident as a teenager where my hip was dislocated and had been walking with a limp for the past 10 years. It was getting harder to ride my bicycle and...

- Juan S

I started having problems with my back eight years ago; the pain would come and go and became increasingly worse. I like to take trips and my back pain was slowing me down which was making me angry. I had gone to chiropractors, massage...

- Vickie A.

// Jason H. Thompson, M.D.