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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Before I came to Proliance Orthopedic Associates I was VERY discouraged.  I was in pain every day for months, but being told nothing was wrong.  The day I met Dr. Shrivastava and Jeannie, my world brightened.  They assured me that I would get...

- Kimberly

// Niket Shrivastava, M.D.

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.

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

Cliff, a VOA patient of Dr. Barrett who underwent bilateral knee replacements has documented his process via social media. Below is a video of Cliff’s progress 4 days after surgery. Yes, 4 days!Cliff made another video 12 days later. In...

- Cliff

POA patient Betty, 89, recently received hip replacement surgery from Dr. Merritt. She details the discomfort that led to her decision to schedule orthopedic surgery and her experience at Proliance Orthopedic Associates. Her peers call her “the...

- POA Patient Betty

// 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.

Thanks from a Mountain ClimberDr. Barrett performed total knee replacements on both of my knees. They are not like original equipment, but they do work well enough for me to do this!

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I fell at home in 2014 and needed a half hip replacement, which sounded interesting. Dr. Howlett was the surgeon, and I found him capable, knowledgeable, and kind. Had the surgery at Valley Medical Center, and was at Wesley Homes for Rehab. The...

- Carol B.

// John Howlett, M.D.

Not long ago, I had an accident where I was knocked unconscious, and when I came to, I could see the bones in my arm/elbow area. This is when I met Dr. Howlett at Proliance Orthopedic Associates. Dr. Howlett had great bedside manner from the...

- Ken

// John Howlett, M.D.

I was told by 2 surgeons that I needed both knees replaced but I’d better get them done together as it’s so painful that I’d never come back to get the second one done. I was also told that my activities would be very limited as...

- Monica F.