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 Physician Assistants

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Terrianna Emerson, PA-C

Terrianna Emerson, PA-C, joined Proliance Orthopedic Associates in 2026 and brings a depth of expertise to our team. Terrianna currently works in both our Renton and Covington clinic locations.

To book an appointment with Terrianna, click the link below!

Book An Appointment
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Gian Kho, PA-C

Gian Kho, PA-C is an orthopedic Physician Assistant working with the sports medicine team, where he is dedicated to helping patients recover from injury and return to active, healthy lifestyles.

To book an appointment with Gian, 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 can’t say enough wonderful things about Dr. Barthel and the entire Proliance Orthopedic Associates staff. I’ve never experienced such thoughtful and compassionate care from a medical facility like I have at Proliance Orthopedic...

- Jessica

Letter of Appreciation for Dr. HuangI happen to have the opportunity of having you do a left hip replacement for me after the first one failed. It was after hours and you were the on-call Orthopedic Surgeon. You took extra necessary steps to...

- Debra B.

// Fredrick S. Huang, M.D.

I recently slipped on a wet floor and broke my right wrist. As an active outdoors person, I enjoy skiing, snowmobiling, jeeping and dirt bike riding so I was concerned about future limitations if healing didn’t go well. I researched the...

- Carla

// John Howlett, M.D.

I was referred to Dr. Howe by Dr. Wagner at the UW. I had been seeing Dr. Chapman at UW originally for several years because of my lower back issues. He wanted to do two surgeries a week a part fussing T7 thru S1. I would have lost 40% mobility...

- Karen G.

// Chris R. Howe, 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.

It was the day that my left knee collapsed under my own weight for no apparent reason that I realized that I could no longer ignore the pain in my knees. That moment came as a complete shock to me because I’ve been active all my life. I played...

- Douglas

// 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.

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.

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 recently dislocated my shoulder twice playing hockey and decided it was time to fix the problem before it got any worse. I had an unreal experience at Proliance Orthopedic Associates, all real nice people. Everyone helped me with getting ready...

- Tyler C.

// Craig T. Arntz, M.D.