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!

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
Smiling bald man with gray beard in business suit and striped tie on blue background

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

View more

Joel describes his trigger finger release surgery with Dr. Howlett.

- Joel

// John Howlett, M.D.

We spend our summer months traveling so I put off going to the doctor until June of 2013 when I was having so much pain that we had to cut our travel plans short and had to return home. I was told that I needed a total hip replacement, but I...

- Joy

// Andrew L. Merritt, M.D.

I was referred to Dr. Howe by Dr. Wagner at the UW. I had been seeing Dr. Chapman at UW originally for several years because of my lower back issues. He wanted to do two surgeries a week a part fussing T7 thru S1. I would have lost 40% mobility...

- Karen G.

// Chris R. Howe, M.D.

I received foot fusion surgery for arthritis on Nov. 11, 2015. I feel great now. I just went back to my bowling in March. I am also able to walk my dog at least six blocks, where I was only able to walk a few blocks before. Dr. Novak was very...

- Rosalie L.

// Erik J. Novak, M.D., Ph.D.

My name is Annmari and I am 53.  I have been Dr. Howlett’s patient for a little over 3 years now.  I broke all three bones in my ankle and luckily Dr. Howlett was in the emergency room when I got there and he did my surgery that night.  When...

- Annmari D.

// John Howlett, M.D.

I started having problems with my back eight years ago; the pain would come and go and became increasingly worse. I like to take trips and my back pain was slowing me down which was making me angry. I had gone to chiropractors, massage...

- Vickie A.

// Jason H. Thompson, M.D.

I take this time to share with you feedback about my experience with Proliance Orthopedics. Over the course of time, I worked with doctors and physician assistants at Proliance to address problems associated with my hip and back. Dr. Chilczuk,...

- Joy K.

// Andrew L. Merritt, M.D.

Dr. Veith,Thank you for the wonderful experience of being in your care. It is so important to have a surgeon you can trust, and from the moment I first met you, I knew I was in expert hands. You not only knew what you were doing, but you spent a...

- Alison

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.

Below is a great testimonial from Bob! Bob received a bilateral knee replacement by Dr. Barrett. We want to thank Bob for his recommendation and for being a part of the Proliance Orthopedic Associates extended family!

- Bob