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!

Introducing Our Newest Occupational Medicine Physician Assistants

Smiling woman with shoulder-length brown hair wearing a black blazer and pink top against a blue background

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

View more

The anterior approach hip replacement surgery I had was a wonderful experience for me. I suffered from an awful hip with severe pain which bothered me for a long time. I was practically unable to walk. The anterior approach to a total hip...

- Arlene

// Andrew L. Merritt, M.D.

I came to see Dr. Shrivastava at Proliance Orthopedic Associates for a broken wrist.  My experience at Proliance Orthopedic Associates was a long process of being in and out of casts over five months.  I ended up damaging my broken wrist after...

- Mark

// Niket Shrivastava, M.D.

I had degenerative disc in my right hip and suffered for four to five years in pain with the last two or three years being unbearable. I couldn’t tie my shoes, sitting in the car was difficult, and I could no longer participate in yoga classes...

- John

// Andrew L. Merritt, 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 am enthusiastic to share my patient experience with Dr. Barrett and Proliance Orthopedic Associates, and to inform other people who have an interest in seeking the best care for their hip related issues.I am an experienced war horse, so to...

- Stefan

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.

I was in pain for five years before I came here. I could hardly walk because the pain in my back, butt, and leg was so severe. I went to my doctor who did some tests, and finally, he told me that I needed a hip replacement. I had my left hip...

- Sherry

// Andrew L. Merritt, M.D.

Below is a great testimonial from Bob! Bob received a bilateral knee replacement by Dr. Barrett. We want to thank Bob for his recommendation and for being a part of the Proliance Orthopedic Associates extended family!

- Bob

I started having problems with my back eight years ago; the pain would come and go and became increasingly worse. I like to take trips and my back pain was slowing me down which was making me angry. I had gone to chiropractors, massage...

- Vickie A.

// Jason H. Thompson, M.D.

“I am 64 years of age and on February 21, 2012 I had an Anterior Approach Total Hip Replacement at Valley Medical Center. Choosing the right orthopedic surgeon to me was very important to a successful surgery and recovery. My primary...

- Sherrie