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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Dear Dr. Barrett and Team,You and your associates are my super heroes! Last week, during my vacation in Hawaii, I was able to enjoy hiking in the outdoors – 12 weeks from the time of my surgery! I hiked 2 miles in a canyon on one day and 2 days...

- Denise

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.

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.

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.

Though early hip replacement is the new trend For 64 years you have been a good friend It is to thank you that I am writing this ode For you have done your best to carry my loadYou have been in London, Paris and French countryside You have been...

- Pat

I’ve been told I have an “old back” and it leaves me with a very gimpy left leg. But before I resort to the inevitable surgery, I have had two epidural steroid injections done by Dr. Chilczuk. My first injection was harder,...

- Lori

Firstly, I can’t express in writing or words my gratitude and thanks for Dr. Andrew Merritt. Dr. Merritt’s surgical skills and genuine / sincere care demonstrated for his patients’ orthopedic wants, needs and desires is quite remarkable....

- Michael Q

// Andrew L. Merritt, M.D.

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.

I could barely walk. Movement–even turning in bed–was torture. This went on for years. Two hip replacements later, three months apart, and it was as if I’d been granted a new life. The surgeries, which I’d been dreading,...

- Judy