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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As a child I had scoliosis and had a steel rod in my back. So as an adult, when I started having numbness down my arms, I came to POA because I thought it was a problem with my back. Some tests were done, and I was diagnosed with Carpel Tunnel. I...

- Sherlyn M.

// John Howlett, M.D.

Even when military retiree John Clements was living with bone-on-bone pain in his right knee, he started his day at 6 a.m. and kept going until about 10 p.m. He lived with arthritic deterioration in his knee for 20 years.Clements had his right...

- Clement

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.

I started having problems with my back eight years ago; the pain would come and go and became increasingly worse. I like to take trips and my back pain was slowing me down which was making me angry. I had gone to chiropractors, massage...

- Vickie A.

// Jason H. Thompson, M.D.

I went in to see the skin doc for something little on my face. Really being vain. When I was talking she noticed a mole on my finger. (I hate this mole, came up after a burn) She said that looks like cancer and took a biopsy right away. It came...

- Dawn W.

// John Howlett, M.D.

I recently slipped on a wet floor and broke my right wrist. As an active outdoors person, I enjoy skiing, snowmobiling, jeeping and dirt bike riding so I was concerned about future limitations if healing didn’t go well. I researched the...

- Carla

// John Howlett, M.D.

Dr. Veith,Thank you for the wonderful experience of being in your care. It is so important to have a surgeon you can trust, and from the moment I first met you, I knew I was in expert hands. You not only knew what you were doing, but you spent a...

- Alison

Getting a hip replaced is no easy deal, but having it done by Dr. Susan Cero of Proliance Orthopedic Associates made it go so smoothly and it was an overall great experience. From the first appointment, to the pre-op, to the surgery, to the...

- Heather

Below is a great testimonial from Bob! Bob received a bilateral knee replacement by Dr. Barrett. We want to thank Bob for his recommendation and for being a part of the Proliance Orthopedic Associates extended family!

- Bob

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