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 for orthopedic and spine care by U.S. News & World Report. Out of thousands of facilities reviewed nationwide, only a select 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. Thompson 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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Dear Dr. Howlett,I have had many surgeries, but I have seldom had the care that you took to explain the process I would go through. After the surgery, when I saw the X-rays, and the incision, I could tell that you had done an excellent job. More...

- Dawn

// John Howlett, M.D.

Dear Dr. Traci Barthel,I’ve never had someone in your position help me like you did. I want to express my appreciation for everything you did to save my finger. When I came to you I was convinced it would have to be amputated. You gave me hope...

- Jennifer

Dr. John Howlett is awesome! I’m a traumatic brain injury patient; broken neck along with other injuries including my right hand was injured at the time of I was a passenger in an ATV accident.  I was flown from Yakima to Harborview in critical...

- Anita

// John Howlett, M.D.

I can’t say enough wonderful things about Dr. Barthel and the entire Proliance Orthopedic Associates staff. I’ve never experienced such thoughtful and compassionate care from a medical facility like I have at Proliance Orthopedic Associates.In...

- Jessica

I first injured my shoulder when I was lifting an electric motor. I felt a pop and immediate pain. The pain was so limiting, I knew I really injured my shoulder. At my first visit with Dr. Merritt, I was very impressed. He really listened to me...

- Mark

// Andrew L. Merritt, 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

My name is Annmari and I am 53.  I have been Dr. Howlett’s patient for a little over 3 years now.  I broke all three bones in my ankle and luckily Dr. Howlett was in the emergency room when I got there and he did my surgery that night.  When I...

- Annmari D.

// John Howlett, M.D.

Joel describes his trigger finger release surgery with Dr. Howlett.

- Joel

// John Howlett, M.D.

My first injection was harder, longer, and much more painful than I anticipated. Apparently, I have a humungous bone spur and Dr. Chilczuk had to figure out the best over, under, or around route to the nerve root. It worked! I had a GREAT...

- Lori

All of the staff that I encountered were very helpful.  Never did I feel rushed and whenever I had a question, it was thoroughly answered.  For having surgery, Proliance Orthopedic Associates made it feel the best possible.  Dr. Shrivastava has...

- Ted

// Niket Shrivastava, M.D.