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 love the ocean. I love the sights, and sounds and smells of a harbor. The birds, the sea life, the people, I love it all. My dream for retirement is to cruise harbor to harbor in my boat enjoying the sights along the way. To explore the harbor...

- James S.

I was referred to Proliance and Dr. Howlett due to a fall I took where I fractured my left arm just below the shoulder. When I first went in to see him I was in quite a bit of pain. The people who worked with me were very conscientious of that...

- Carolyn M.

// John Howlett, M.D.

I came to see Dr. Shrivastava at Proliance Orthopedic Associates because I was having shoulder pain which caused problems whenever I used my arm.  Since being treated by Dr. Shrivastava, my shoulder pain is gone which is making my life so much...

- Patricia

// Niket Shrivastava, M.D.

I was lucky to have had a wonderful experience today spending it in the VOA Surgery Center. From the time upon admitting, to surgery, recovery, and discharge the staff was so caring, kind, and compassionate about the patient, and the procedure to...

- Rebecca

Thank you so much Dr. Cero for putting me back together.

- - Kerry, Future Bike Racer!!!

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

Letter of Appreciation for Dr. HuangI happen to have the opportunity of having you do a left hip replacement for me after the first one failed. It was after hours and you were the on-call Orthopedic Surgeon. You took extra necessary steps to...

- Debra B.

// Fredrick S. Huang, M.D.

Dear Dr. Barrett,I just got back from my Physical Therapy session. I walked in, and I walked out. The other day, I stood at a window, (without having to use a walking aid or lean on someone) and watched the world go by. (I don’t remember the...

- Deb

Anterior approach patient Largo, 67, received hip replacement surgery from POA surgeon Dr. William Barrett. After 5-6 years of knee and back pain, Largo’s hip became a problem. Dr. Barrett had performed orthopedic surgery on her husband and...

- POA Patient Largo

January, 2014Dear Dr. Barrett,I am so thankful for your talented surgical skills. My life has changed in so many wonderful ways since June 17th. The following are some of those ways: I can go for walks with my husband. I can actually enjoy...

- Ann