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 Physician Assistants

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Terrianna Emerson, PA-C

Terrianna Emerson, PA-C, joined Proliance Orthopedic Associates in 2026 and brings a depth of expertise to our team. Terrianna currently works in both our Renton and Covington clinic locations.

To book an appointment with Terrianna, click the link below!

Book An Appointment
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Gian Kho, PA-C

Gian Kho, PA-C is an orthopedic Physician Assistant working with the sports medicine team, where he is dedicated to helping patients recover from injury and return to active, healthy lifestyles.

To book an appointment with Gian, 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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To Dr. Merritt,On a Saturday in April of 2014, I had climbed a step ladder to reach a bowl from a cupboard. Somehow, I forgot that I was on a ladder, and fell. I couldn’t get off the floor and had to call for help. I had fractured my hip.That...

- Nicole

// Andrew L. Merritt, M.D.

The Comeback KidI climbed Mt Adams on Friday, July 19, 2013.This was a big event for me for 2 reasons. I am the “comeback kid” as I have had bilateral knee replacements and two rotator cuff surgeries in the last 3 years. At 62, I...

- Don

Thanks from a Mountain ClimberDr. Barrett performed total knee replacements on both of my knees. They are not like original equipment, but they do work well enough for me to do this!

- Placeholder

After years of painful arthritis keeping them from the activities they enjoy in life, VOA patients share their joint replacement journeys.Edward James, a retired high school principal, lived with the pain of arthritis for nearly four years before...

- Edward

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’m a 57-year-old guy who has worked desk jobs for the past 30+ years. I’ve been active my whole life. I enjoy playing various sports such as baseball, basketball and soccer, and outdoor activities such as long distance running, skiing and...

- Tom

// Andrew L. Merritt, M.D.

Victor is no stranger to shoulder pain. Ten years ago Victor had surgery to repair his right rotator cuff. Then pain in both shoulders was again limiting Victor’s mobility and active lifestyle. His family physician referred him to VOA...

- Victor

// Craig T. Arntz, M.D.

I was referred by someone whose coworker had surgery by a different surgeon from Proliance Orthopedic Associates. When I was ready to schedule my appointment, that particular surgeon’s schedule was full, so I saw Dr. Merritt instead.Based on my...

- Lynn

// Andrew L. Merritt, M.D.

The surgeries I received in 2016 were a major shoulder surgery from Dr. Arntz in April and a total knee replacement in June by Dr. Merritt. I was referred by Dr. David Sweiger who took the time and interest to try to help me. So glad I switched...

- Jay S.

// 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