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 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
Smiling bald man with gray beard in business suit and striped tie on blue background

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

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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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.

I could barely walk. Movement–even turning in bed–was torture. This went on for years. Two hip replacements later, three months apart, and it was as if I’d been granted a new life. The surgeries, which I’d been dreading,...

- Judy

Though early hip replacement is the new trend For 64 years you have been a good friend It is to thank you that I am writing this ode For you have done your best to carry my loadYou have been in London, Paris and French countryside You have been...

- Pat

Over the years, Pauline has had four surgeries with Proliance Orthopedic Associates orthopedic physician Dr. Craig Arntz. She has had two hand surgeries, as well as both right and left shoulder surgery. She discusses how she is virtually...

- Pauline

// Craig T. Arntz, 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.

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.

Below is a great testimonial video from our patient Fran! When asked why she chose the anterior approach for her hip replacement surgery, Fran said, “I knew it would be less invasive, faster recovery time, and would allow me to get back to...

- Fran

Before surgery, I was limping -- I was unable to lift my left foot to walk properly or ride my motorcycle. Since surgery, I can lift my left foot, walk properly and shift gears on my Harley. Dr. Clark showed me clearly (via x-rays), what and...

- Mark

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 very pleased with the results of my hip replacement surgery last July, 2015. One of my primary goals was to hike with my husband again, and I’ve been able to do that! We have hiked in California, Arizona and many other states this winter...

- Ramona

// Andrew L. Merritt, M.D.