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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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

I have now had 2 surgeries at Proliance and Valley Medical and they were both top notch. First was hip replacement with Dr. Barrett a few years ago. There’s a very good reason he has been on the “Top Doctor” list for so many...

- Sue W.

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.

Full right hip replacement by Dr. Barrett 12-19-16.  PAIN-FREE hike up Diamondhead on 7-15-17.  Thank you Proliance Team!!!!

- Brian C.

Below is a great testimonial video from our patient Donald! He said, “From the first day I walked in here I had zero pain. Not one thing that was done to me in the hospital caused me any pain.” We’re so glad that we could help Donald with...

- Donald

In 1984, at age 3, I broke my arm badly after I fell off my swing set. No one would ever know I had compartment syndrome, multiple surgeries, and almost lost the use of my right arm. Our pastor and my family prayed over my arm as talks of...

- Noelle

I’ve seen Dr. Howlett multiple times for problems with my hands. Dr. Howlett has the most calming personality that really inspires confidence as a patient.  He’s great at calming my fears and what I appreciate the most is that he really...

- Sandra W.

// John Howlett, M.D.

On May 19, 2008, Geoffrey had his left hip replaced after living with bone-on-bone pain for almost two years.“All of the cartilage was gone,” Geoffrey said. “I ran track and raced jet skis. I just wore it out,” Newing...

- Geoffrey

In November 2014, my step son was getting married and all I wanted to do was be able to walk down the isle and be able to dance at his wedding. Fortunately, I was able to do these things, but due to the pain it was difficult. The pain I felt in...

- Pamela

// Andrew L. Merritt, M.D.

I am a 77-year-old female on whom Dr. Merritt replaced my right hip on March 25, 2015. Surgery went well and his staff were very patient and professional when I did not cooperate too well when I was coming out from the anesthesia!I went home the...

- E. Arlene M.

// Andrew L. Merritt, M.D.