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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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.

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.

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.

To: Valley Orthopedic Associates Care of: Dr. Cero, Joint replacement is a serious decision in one’s life. But when you consider the pain of bone on bone and the quality of life you give up every day you put this decision off you will never...

- Pat

It was the day that my left knee collapsed under my own weight for no apparent reason that I realized that I could no longer ignore the pain in my knees. That moment came as a complete shock to me because I’ve been active all my life. I played...

- Douglas

// Andrew L. Merritt, 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.

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.

Watch this fascinating testimonial video from Proliance Orthodpedic Associates’ patient Betsy, who experienced osteoarthritis to the point of bone on bone. She talks about meeting with POA orthopedic surgeon Dr. William Barrett and how he...

- POA Patient Betsy

Getting a hip replaced is no easy deal, but having it done by Dr. Susan Cero of Proliance Orthopedic Associates made it go so smoothly and it was an overall great experience. From the first appointment, to the pre-op, to the surgery, to the...

- Heather

Dear Dr. Traci Barthel,I’ve never had someone in your position help me like you did. I want to express my appreciation for everything you did to save my finger. When I came to you I was convinced it would have to be amputated. You gave me hope...

- Jennifer