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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
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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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Letter of Appreciation for Dr. HuangI happen to have the opportunity of having you do a left hip replacement for me after the first one failed. It was after hours and you were the on-call Orthopedic Surgeon. You took extra necessary steps to...

- Debra B.

// Fredrick S. Huang, M.D.

The surgeries I received in 2016 were a major shoulder surgery from Dr. Arntz in April and a total knee replacement in June by Dr. Merritt. I was referred by Dr. David Sweiger who took the time and interest to try to help me. So glad I switched...

- Jay S.

// Andrew L. Merritt, M.D.

The anterior approach hip replacement surgery I had was a wonderful experience for me. I suffered from an awful hip with severe pain which bothered me for a long time. I was practically unable to walk. The anterior approach to a total hip...

- Arlene

// Andrew L. Merritt, M.D.

I am blessed to have found great medical personnel at Proliance Orthopedic Associates. As soon as I come into the building, I can feel that I am cared about and that I will be in good hands. I am also blessed that I was referred to Dr. Thompson...

- Richard R.

// Jason H. Thompson, 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 came to see Dr. Shrivastava at Proliance Orthopedic Associates for a broken wrist.  My experience at Proliance Orthopedic Associates was a long process of being in and out of casts over five months.  I ended up damaging my broken wrist after...

- Mark

// Niket Shrivastava, M.D.

I was referred to Proliance and Dr. Howlett due to a fall I took where I fractured my left arm just below the shoulder. When I first went in to see him I was in quite a bit of pain. The people who worked with me were very conscientious of that...

- Carolyn M.

// John Howlett, M.D.

The Comeback KidI climbed Mt Adams on Friday, July 19, 2013.This was a big event for me for 2 reasons. I am the “comeback kid” as I have had bilateral knee replacements and two rotator cuff surgeries in the last 3 years. At 62, I...

- Don

Dear Dr. Howlett,I have had many surgeries, but I have seldom had the care that you took to explain the process I would go through. After the surgery, when I saw the X-rays, and the incision, I could tell that you had done an excellent job. More...

- Dawn

// John Howlett, M.D.

I had my right hip replaced 7 weeks ago with Dr. Alton and I am very pleased. I came to see Dr. Alton at Proliance Orthopedic Associates because my right hip kept dislocating and it was extremely painful. My hip dislocated 4 times in 8 months,...

- Janice

// Timothy B. Alton, M.D.