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!

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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’ve been told I have an “old back” and it leaves me with a very gimpy left leg. But before I resort to the inevitable surgery, I have had two epidural steroid injections done by Dr. Chilczuk. My first injection was harder,...

- Lori

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.

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

- Joel

// John Howlett, M.D.

After a fall at the gym, Logan broke both his left radius and ulna. Dr. Cero’s work on Logan’s arm has helped him get back on the court.If you suffer a sports-related injury, such as an ACL or rotator cuff tear, or wrist or shoulder...

- Logan

I was referred by someone whose coworker had surgery by a different surgeon from Proliance Orthopedic Associates. When I was ready to schedule my appointment, that particular surgeon’s schedule was full, so I saw Dr. Merritt instead.Based on my...

- Lynn

// Andrew L. Merritt, M.D.

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

Thanks to all of you at Proliance for making my trip to Katmai Alaska possible. The trip was very difficult physically and would have been impossible without the knee replacement.

- Bruce

Due to the fact I injured my knees severely when I was young and playing sports. I was in need of total knee replacement for both knees. After exhausting every non-invasive way of providing relief I went forward. I am in my mid forties and after...

- Tom

// Fredrick S. Huang, M.D.

Dear Dr. Cero,Just wanted to let you know that my surgery is just beautiful. My doctor, who is Dr. Hatfied, that had done my hip was very pleased with the x-ray. He said you did a real good job. How about that? He took more x-rays last week and...

- Rita

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.