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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I am very pleased with the results of my hip replacement surgery last July, 2015. One of my primary goals was to hike with my husband again, and I’ve been able to do that! We have hiked in California, Arizona and many other states this winter...

- Ramona

// Andrew L. Merritt, M.D.

I came into Proliance Orthopedic Associates to see Dr. Shrivastava because I was unable to lift anything more than a couple of pounds without severe pain in my thumbs. Dr. Shrivastava was very caring and professional. He explained every option...

- Nancy

// Niket Shrivastava, M.D.

I visited the Proliance office in severe pain. Forty years ago, I had been in a terrible car accident as a teenager where my hip was dislocated and had been walking with a limp for the past 10 years. It was getting harder to ride my bicycle and...

- Juan S

I had full knee replacement surgery on my right knee by Dr. Susan Cero in July 2017.  I am extremely pleased with the results, it now has been six weeks, and I am able to get back on my bike trainer to rebuild my muscle tone and prepare for my...

- Gary

To: Valley Orthopedic Associates Care of: Dr. Cero, Joint replacement is a serious decision in one’s life. But when you consider the pain of bone on bone and the quality of life you give up every day you put this decision off you will never...

- Pat

“After three decades of reoccurring back problems involving infrequent but sometimes serious sciatic nerve pain, I finally decided that I needed to find a doctor whom I could trust to give me a professional and unbiased analysis of my...

- Larry

// Chris R. Howe, M.D.

Linda Green discusses her anterior hip replacement and her experience with Proliance Orthopedic Associates’, Dr. Susan Cero.

- Linda

Dr. Shrivastava is very polite, caring, and positive.  I feel that he is truly concerned about my well-being. Jeannie (his medical assistant) is always cheerful and helpful, she is very efficient too. Since coming to Proliance Orthopedic...

- Margaret

// Niket Shrivastava, M.D.

Dr. Cero has successfully operated on my youngest daughter Rebecca, my wife Lyn, and me on five  occasions. I had three “industrial incidents” that created much pain in my left knee on one occasion and my right knee on 2 occasions. After...

- James

Dr. Cero, When you gave me my new knee, you took ten years off of my age and my daily life and outlook improved. My wife Betty, daughter Pat, and granddaughter DeDe were all relieved. Your wonderful, warm conversation gave us so much information...

- Albert