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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I’ve seen Dr. Howlett multiple times for problems with my hands. Dr. Howlett has the most calming personality that really inspires confidence as a patient.  He’s great at calming my fears and what I appreciate the most is that he really...

- Sandra W.

// John Howlett, M.D.

I recently slipped on a wet floor and broke my right wrist. As an active outdoors person, I enjoy skiing, snowmobiling, jeeping and dirt bike riding so I was concerned about future limitations if healing didn’t go well. I researched the...

- Carla

// John Howlett, M.D.

I am writing this letter to thank Proliance Orthopedic Associates and Dr. Susan Cero for making my joint replacement surgery a complete success. The surgery was performed on May 18, 2015. The outcome is much better than expected. The joint...

- Jana T.

January, 2013I am 59 years old and have suffered for years with Oesteoarthritis in my knee due to sports injuries. I tried to prolong the life of the knee with cortisone and viscous shots but finally reached a point where my quality of life had...

- Dinah

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

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

“I was diagnosed with a very sever rotator cuff tear and I was referred to Dr. Arntz from my doctor at MultiCare. I cannot be more thankful and blessed to have had Dr. Arntz perform my surgery. He is so dedicated to doing the best job he...

- Diane

// Craig T. Arntz, M.D.

I can’t say enough wonderful things about Dr. Barthel and the entire Proliance Orthopedic Associates staff. I’ve never experienced such thoughtful and compassionate care from a medical facility like I have at Proliance Orthopedic...

- Jessica

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.

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