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
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

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Dr. Fredrick S. Huang
,I can’t tell you enough what a different person Chad is lately. He’s swimming and biking a lot, and slowly adding more activity. He is so much happier when he’s not in pain. I didn’t really understand the daily...

- Angie (Mom of patient)

// Fredrick S. Huang, M.D.

I first met Dr. Howlett in the ER when I broke my shoulder, he was the on-call doctor and I’m very glad that he was. He did surgery on my shoulder and was extremely thorough in explaining the injury as well as what needed to be done to fix it....

- Betty M.

// John Howlett, M.D.

In my early 50’s my back started bothering me. I had had a serious injury in my early 30’s and thought I may need to update my exercise routine. so, I saw a physical therapist and got regular massages. I did not experience any relief...

- Mary G.

// Chris R. Howe, M.D.

Anterior approach patient Largo, 67, received hip replacement surgery from POA surgeon Dr. William Barrett. After 5-6 years of knee and back pain, Largo’s hip became a problem. Dr. Barrett had performed orthopedic surgery on her husband and...

- POA Patient Largo

I had a total right hip replacement on the 10th of August. From my first appointment with Jana Flener, to being discharged from Valley Medical I was TOTALLY impressed and happy with everything. Proliance Orthopedics is just super. They treated me...

- Mary M.

I had degenerative disc in my right hip and suffered for four to five years in pain with the last two or three years being unbearable. I couldn’t tie my shoes, sitting in the car was difficult, and I could no longer participate in yoga classes...

- John

// Andrew L. Merritt, M.D.

Dr. Merritt performed a hip replacement on my dad, who was then 90, in the spring of 2015, using the anterior approach.In my opinion, this surgery saved my father’s life. At the time, he was spiraling downhill on several fronts. Because hip...

- Richard B.

// Andrew L. Merritt, M.D.

I had my right hip replaced 7 weeks ago with Dr. Alton and I am very pleased. I came to see Dr. Alton at Proliance Orthopedic Associates because my right hip kept dislocating and it was extremely painful. My hip dislocated 4 times in 8 months,...

- Janice

// Timothy B. Alton, M.D.

I want to tell how much I’ve waited for my hand back. To help people, like you do doctor, it means so much to me to use my hand as a helping hand for others. I’ve prayed for this all year. Doing everything one handed, has been challenging.I...

- Marlene – Patient/Friend

My hands have been hurting for more than ten years but I didn’t know what caused it or what it was.  Then lately because of the pain and numbing, I consulted my family doctor.  He suggested consulting an orthopedic doctor.  I chose Dr....

- Fe

// Niket Shrivastava, M.D.