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.

OUR APPROACH TO ASC CARE

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!

What Sets Us Apart

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!

Learn more:

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Introducing VELYS Assisted Robotic Solution

Every knee is different, as is every patient requiring a knee replacement procedure. VELYS™ Robotic-Assisted Solution simplifies knee replacement surgery by providing valuable insights, versatile execution, and verified performance to deliver efficiency for surgeons and optimize patient outcomes.

Explore VELYS

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

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UNMATCHED
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Find the care you need, when and where you need it, with the region's most comprehensive orthopedic care.

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.

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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.

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

I was living in constant pain, 24 hours a day for years! Before I met Dr. Merritt I was always limping and was limited on the activities that I could do with my young daughter, especially after a full day of work. I had seen other doctors who...

- Abeslin C.

// 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 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.

I have now had 2 surgeries at Proliance and Valley Medical and they were both top notch. First was hip replacement with Dr. Barrett a few years ago. There’s a very good reason he has been on the “Top Doctor” list for so many...

- Sue W.

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.

“After three decades of reoccurring back problems involving infrequent but sometimes serious sciatic nerve pain, I finally decided that I needed to find a doctor whom I could trust to give me a professional and unbiased analysis of my...

- Larry

// Chris R. Howe, M.D.

To: Valley Orthopedic Associates Care of: Dr. Cero, Joint replacement is a serious decision in one’s life. But when you consider the pain of bone on bone and the quality of life you give up every day you put this decision off you will never...

- Pat

I came to see Dr. Shrivastava at Proliance Orthopedic Associates because I broke my wrist. It was the first time that I had broken anything. From my first visit here with Zach PA-C, till my last, everyone made me feel comfortable and at...

- Betty

// Niket Shrivastava, M.D.

Dear Dr. Cero,Just wanted to let you know that my surgery is just beautiful. My doctor, who is Dr. Hatfied, that had done my hip was very pleased with the x-ray. He said you did a real good job. How about that? He took more x-rays last week and...

- Rita

I first injured my shoulder when I was lifting an electric motor. I felt a pop and immediate pain. The pain was so limiting, I knew I really injured my shoulder. At my first visit with Dr. Merritt, I was very impressed. He really listened to me...

- Mark