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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In my early 50’s my back started bothering me. I had had a serious injury in my early 30’s and thought I may need to update my exercise routine. so, I saw a physical therapist and got regular massages. I did not experience any relief...

- Mary G.

// Chris R. Howe, M.D.

I was living in constant pain, 24 hours a day for years! Before I met Dr. Merritt I was always limping and was limited on the activities that I could do with my young daughter, especially after a full day of work. I had seen other doctors who...

- Abeslin C.

// Andrew L. Merritt, M.D.

Due to the fact I injured my knees severely when I was young and playing sports. I was in need of total knee replacement for both knees. After exhausting every non-invasive way of providing relief I went forward. I am in my mid forties and after...

- Tom

// Fredrick S. Huang, M.D.

I want to tell how much I’ve waited for my hand back. To help people, like you do doctor, it means so much to me to use my hand as a helping hand for others. I’ve prayed for this all year. Doing everything one handed, has been challenging.I...

- Marlene – Patient/Friend

The pain I was having in my hand started in March while I was clipping limbs off of a tree.  By April my hand started to swell up so I went to my doctor who first referred me to physical therapy.  I attended 9 sessions with the therapist, who...

- Karen

// John Howlett, M.D.

“I was given a referral for Dr. Arntz years ago when I injured my left shoulder. He was a pleasant doctor and person. He suggested shoulder repair at that time. And also told me that with my condition, I would need a complete shoulder...

- Denise

// Craig T. Arntz, M.D.

Dear Proliance Orthopedic AssociatesI am writing you this letter to tell you about my recent left shoulder replacement surgery done on December 13, 2012. Since this is my second shoulder replacement, having had the right one done four years ago,...

- Raymond

// 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 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.

I can’t say enough good things about Dr. Howe and his staff. I came to Dr. Howe after being told by two other surgeons that nothing was wrong with my back, and I just had a bulging disk and after injections, it would heal itself. I did...

- Samantha

// Chris R. Howe, M.D.