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 Occupational Medicine Physician Assistants

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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

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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.

The pain I was having in my hand started in March while I was clipping limbs off of a tree.  By April my hand started to swell up so I went to my doctor who first referred me to physical therapy.  I attended 9 sessions with the therapist, who...

- Karen

// John Howlett, M.D.

As someone from out of town, I emailed and got a fast response and set up an appointment. My back was so bad I could hardly walk four steps. Dr. Chilczuk had me x-rayed, and he knew and cared about my pain. I had to run the gamut before I could...

- Bill

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...

- Anita

// John Howlett, M.D.

At 83 years old, I was very frightened at the thought of needing surgery on my hip.  I haven’t had surgery since I was 6 years old, and it was not something that I wanted to go through at the age of 83.  I had been limping for over a year,...

- Joanne

// Andrew L. Merritt, M.D.

Below is a great testimonial video from our patient Fran! When asked why she chose the anterior approach for her hip replacement surgery, Fran said, “I knew it would be less invasive, faster recovery time, and would allow me to get back to...

- Fran

“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.

Joel discusses his wife’s chronic pain, hip surgery and road to recovery with Dr. Merritt.

- Joel

// Andrew L. Merritt, M.D.

After a fall at the gym, Logan broke both his left radius and ulna. Dr. Cero’s work on Logan’s arm has helped him get back on the court.If you suffer a sports-related injury, such as an ACL or rotator cuff tear, or wrist or shoulder...

- Logan

In my early 50’s my back started bothering me. I had had a serious injury in my early 30’s and thought I may need to update my exercise routine. so, I saw a physical therapist and got regular massages. I did not experience any relief...

- Mary G.

// Chris R. Howe, M.D.