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
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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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“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.

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

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

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

I have lived a lot of my life with limitations.  Between genetic anomalies and sports injuries, I’ve endured knee pain for more than 25 years.  As time progressed, the pain got increasingly worse and the list of things I couldn’t do got...

- Caroline E.

// Andrew L. Merritt, M.D.

I’ve been told I have an “old back” and it leaves me with a very gimpy left leg. But before I resort to the inevitable surgery, I have had two epidural steroid injections done by Dr. Chilczuk. My first injection was harder,...

- Lori

// B. Daniel Chilczuk, M.D.

I’ve seen Dr. Howlett multiple times for problems with my hands. Dr. Howlett has the most calming personality that really inspires confidence as a patient.  He’s great at calming my fears and what I appreciate the most is that he really...

- Sandra W.

// John Howlett, M.D.

I fell at home in 2014 and needed a half hip replacement, which sounded interesting. Dr. Howlett was the surgeon, and I found him capable, knowledgeable, and kind. Had the surgery at Valley Medical Center, and was at Wesley Homes for Rehab. The...

- Carol B.

// John Howlett, M.D.

We spend our summer months traveling so I put off going to the doctor until June of 2013 when I was having so much pain that we had to cut our travel plans short and had to return home. I was told that I needed a total hip replacement, but I...

- Joy

// Andrew L. Merritt, M.D.

In 1984, at age 3, I broke my arm badly after I fell off my swing set. No one would ever know I had compartment syndrome, multiple surgeries, and almost lost the use of my right arm. Our pastor and my family prayed over my arm as talks of...

- Noelle