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 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 love the ocean. I love the sights, and sounds and smells of a harbor. The birds, the sea life, the people, I love it all. My dream for retirement is to cruise harbor to harbor in my boat enjoying the sights along the way. To explore the harbor...

- James S.

From the beginning to end, the staff associated with Dr. Shrivastava and he himself have put me at ease, spent the time needed to answer questions and made sure the surgery was successful.  He was patient and kind, answering any and all...

- Alice

// Niket Shrivastava, M.D.

I broke my wrist while snowboarding, which is how I met Dr. Howlett. I came into the office for a consultation after I had my cast taken off, and Dr. Howlett recommended surgery. Since surgery was the recommendation, I reluctantly agreed. I was...

- Roy W.

// John Howlett, M.D.

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.

Dear Dr. Barrett and Team,You and your associates are my super heroes! Last week, during my vacation in Hawaii, I was able to enjoy hiking in the outdoors – 12 weeks from the time of my surgery! I hiked 2 miles in a canyon on one day and 2 days...

- Denise

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.

I came to see Dr. Shrivastava at Proliance Orthopedic Associates for a broken wrist.  My experience at Proliance Orthopedic Associates was a long process of being in and out of casts over five months.  I ended up damaging my broken wrist after...

- Mark

// Niket Shrivastava, M.D.

Wow! Am I ever thrilled to have this opportunity to give the highest praise possible to the folks who helped me regain my life! I know this sounds like an exaggeration but, believe me, it is NOT! Proliance Orthopedic Associates and Dr. Craig...

- Elaine

// Craig T. Arntz, M.D.

My name is Al Minish, I have had Bilateral Arthroscopic Debridement and Open Rotator Cuff Repair, and Biceps Tenodesis for work related occupational job injury of 25 years–I was a journeyman painter for Washington State Parks, Port...

- Alan M.

// Craig T. Arntz, M.D.