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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On the way to the summit of Mount Rainier.

- Rachel

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.

As a child I had scoliosis and had a steel rod in my back. So as an adult, when I started having numbness down my arms, I came to POA because I thought it was a problem with my back. Some tests were done, and I was diagnosed with Carpel Tunnel. I...

- Sherlyn M.

// John Howlett, 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.

Dear Dr. Cero,Just wanted to let you know that my surgery is just beautiful. My doctor, who is Dr. Hatfied, that had done my hip was very pleased with the x-ray. He said you did a real good job. How about that? He took more x-rays last week and...

- Rita

I had a hip replacement in September and am doing great. Dr.Cero and her staff were exceptional. Dr. Cero requested that the surgery and recovery would be a lot better if I was to lose some weight. I took her advice and extended my surgery a few...

- James

My hands have been hurting for more than ten years but I didn’t know what caused it or what it was.  Then lately because of the pain and numbing, I consulted my family doctor.  He suggested consulting an orthopedic doctor.  I chose Dr....

- Fe

// Niket Shrivastava, M.D.

I finally decided to do something serious about my basketball knee (surgery in 1978 to remove part of meniscus cartilage), injured from playing at 45 long after I should have quit. So, I had knee replacement about 1 year ago – Sept 9, 2014....

- Eugene W.

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

“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.