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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Anterior approach patient Largo, 67, received hip replacement surgery from POA surgeon Dr. William Barrett. After 5-6 years of knee and back pain, Largo’s hip became a problem. Dr. Barrett had performed orthopedic surgery on her husband and...

- POA Patient Largo

In my case, I really can’t pin down when my right hip started causing problems. I can, however, pin down when the problem got really bad – November, 2012.The trek started from Jiri, Nepal, a long day’s car ride to the East of Kathmandu....

- Placeholder

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.

Thank you so much Dr. Cero for putting me back together.

- - Kerry, Future Bike Racer!!!

I went in to see the skin doc for something little on my face. Really being vain. When I was talking she noticed a mole on my finger. (I hate this mole, came up after a burn) She said that looks like cancer and took a biopsy right away. It came...

- Dawn W.

// John Howlett, M.D.

Dear Dr. Cero. Our Hero!! I have tried many times to find the words to say how much you have improved George's ability to walk. Every step he takes I think of you with excitement. How can I express our profound gratitude in the future of...

- Gin and George

Dr. Shrivastava is very polite, caring, and positive.  I feel that he is truly concerned about my well-being. Jeannie (his medical assistant) is always cheerful and helpful, she is very efficient too. Since coming to Proliance Orthopedic...

- Margaret

// Niket Shrivastava, 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.

WOW, where to begin? Firstly, I want to thank Dr. Novak, he is an excellent doctor and very experienced. I broke my fibular playing soccer in July and was in a lot of pain. He immediately talked about surgery and was able to repair my broken...

- Derek

// Erik J. Novak, M.D., Ph.D.

The surgeries I received in 2016 were a major rotator cuff surgery from Dr. Arntz in April and a total knee replacement in June by Dr. Merritt. I was referred by Dr. David Sweiger who took the time and interest to try to help me. So glad I...

- Jay S.

// Craig T. Arntz, M.D.