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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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I injured my right knee and ankle while racing motocross back in August of 2014. I was trying to ‘look young’ and ended up colliding with another racer and landing on my right side. I went to Valley Medical Center where I was placed into a...

- Ken

// Andrew L. Merritt, M.D.

I began my career as a mountain guide taking people to the summit of Mt Rainier in 1968 at age 17. Many years and hundreds of summit ascents later, my knees were shot. I consulted with Dr. Barrett and subsequently decided to go with...

- Joe H.

Dear Dr. Cero,It has been a long journey from shattered clavicle to age division National Champion! Thank you & your team at Proliance Orthopedic Associates so much for being my partner in recovery!I appreciated our discussions about the...

- Kerry

I first met Dr. Howlett in the ER when I broke my shoulder, he was the on-call doctor and I’m very glad that he was. He did surgery on my shoulder and was extremely thorough in explaining the injury as well as what needed to be done to fix it....

- Betty M.

// John Howlett, M.D.

I love the ocean. I love the sights, and sounds and smells of a harbor. The birds, the sea life, the people, I love it all. My dream for retirement is to cruise harbor to harbor in my boat enjoying the sights along the way. To explore the harbor...

- James S.

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

I am so grateful to you for the surgery you did on my right shoulder!  I couldn’t be happier!  Thank you to you and Roxanne for all you have done to get me through my first surgery.  Everything was exactly as the portfolio you gave me said...

- Y.R.

// Craig T. Arntz, M.D.

Dr. Shrivastava is very polite, caring, and positive.  I feel that he is truly concerned about my well-being. Jeannie (his medical assistant) is always cheerful and helpful, she is very efficient too. Since coming to Proliance Orthopedic...

- Margaret

// Niket Shrivastava, M.D.

The surgeries I received in 2016 were a major rotator cuff 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...

- Jay S.

// Craig T. Arntz, M.D.

Five years ago I had my right knee replaced by Dr. Barrett. When my left knee started going out, I knew I needed to make another appointment at Proliance Orthopedic Associates to see. Dr. Barrett.  My first appointment was with PA-C Jana...

- Thomas

// Timothy B. Alton, M.D.