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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Dr. Merritt performed a hip replacement on my dad, who was then 90, in the spring of 2015, using the anterior approach.In my opinion, this surgery saved my father’s life. At the time, he was spiraling downhill on several fronts. Because hip...

- Richard B.

// Andrew L. Merritt, M.D.

“I had thumb reconstruction with Dr. Shrivastava at Proliance Orthopedic Associates.  Everyone at Proliance Orthopedic Associates is so nice and professional.  I’ve had three surgeries here with two to go, I wouldn’t go anywhere else...

- Victoria

// Niket Shrivastava, M.D.

Dear Dr. Cero,You are an excellent surgeon. Both of my surgeries, on my leg and arm went smoothly. For a woman turning 80, I give you a lot of the credit. You prepared both my family and me for both of the surgeries and gave me excellent care...

- Ramona Wolfe

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.

Dear Dr. Cero,It has been a long journey from shattered clavicle to age division National Champion! Thank you & your team at Proliance Orthopedic Associates so much for being my partner in recovery!I appreciated our discussions about the...

- Kerry

I want to tell how much I’ve waited for my hand back. To help people, like you do doctor, it means so much to me to use my hand as a helping hand for others. I’ve prayed for this all year. Doing everything one handed, has been challenging.I...

- Marlene – Patient/Friend

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.

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.

I had surgery on February 3 of this year. I was terrified and I had not taken care of my ankle for three months prior to surgery. Dr. Novak was really understanding and listened to my problems. I am heavy and he did not mention that but gave me a...

- Katlyn B.

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

January, 2014Dear Dr. Barrett,I am so thankful for your talented surgical skills. My life has changed in so many wonderful ways since June 17th. The following are some of those ways: I can go for walks with my husband. I can actually enjoy...

- Ann