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.

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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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Dear Dr. Barrett,Thank you for taking my husband under your care and facilitating a very successful left total hip replacement outcome.During his follow-up visit you asked him how he viewed his recovery with the anterior approach.  His response...

- Wendy

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 came to see Dr. Merritt after a frustrating experience with another surgeon. I was scheduled for a total knee replacement with a surgeon at a different hospital and the surgery got cancelled when I was in the pre-op area. The day of surgery it...

- Valerie

// Andrew L. Merritt, M.D.

Today marks my one week post op anniversary for my left hip surgery! I am amazed my pain is gone only tenderness in incision site.  I’m an old 70 year retired R.N. and recognize an outstanding medical office-which I found at your office from...

- Sallee

I had my right hip replaced 7 weeks ago with Dr. Alton and I am very pleased. I came to see Dr. Alton at Proliance Orthopedic Associates because my right hip kept dislocating and it was extremely painful. My hip dislocated 4 times in 8 months,...

- Janice

// Timothy B. Alton, M.D.

I began my career as a mountain guide taking people to the summit of Mt Rainier in 1968 at age 17. Many years and hundreds of summit ascents later, my knees were shot. I consulted with Dr. Barrett and subsequently decided to go with...

- Joe H.

Due to the fact I injured my knees severely when I was young and playing sports. I was in need of total knee replacement for both knees. After exhausting every non-invasive way of providing relief I went forward. I am in my mid forties and after...

- Tom

// Fredrick S. Huang, M.D.

“I had an injury while on a beach vacation. Dr. Niket Shrivastava offered me guidance remotely. I down played the injury. Dr. Shrivastava, very tactfully, described the severity of my condition and provided me a course of action which had...

- Parag

// Niket Shrivastava, M.D.

January, 2013I am 59 years old and have suffered for years with Oesteoarthritis in my knee due to sports injuries. I tried to prolong the life of the knee with cortisone and viscous shots but finally reached a point where my quality of life had...

- Dinah

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.