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 had thumb reconstruction with Dr. Shrivastava at Proliance Orthopedic Associates.  Everyone at Proliance Orthopedic Associates is so nice and professional.  I’ve had three surgeries here with two to go, I wouldn’t go anywhere else...

- Victoria

// Niket Shrivastava, M.D.

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

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.

Today marks my one week post op anniversary for my left hip surgery! I am amazed my pain is gone only tenderness in incision site.  I’m an old 70 year retired R.N. and recognize an outstanding medical office-which I found at your office from...

- Sallee

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.

I came to see Dr. Merritt after a frustrating experience with another surgeon. I was scheduled for a total knee replacement with a surgeon at a different hospital and the surgery got cancelled when I was in the pre-op area. The day of surgery it...

- Valerie

// Andrew L. Merritt, M.D.

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

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.

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

I broke my wrist while snowboarding, which is how I met Dr. Howlett. I came into the office for a consultation after I had my cast taken off, and Dr. Howlett recommended surgery. Since surgery was the recommendation, I reluctantly agreed. I was...

- Roy W.

// John Howlett, M.D.