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 Physician Assistants

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Terrianna Emerson, PA-C

Terrianna Emerson, PA-C, joined Proliance Orthopedic Associates in 2026 and brings a depth of expertise to our team. Terrianna currently works in both our Renton and Covington clinic locations.

To book an appointment with Terrianna, click the link below!

Book An Appointment
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Gian Kho, PA-C

Gian Kho, PA-C is an orthopedic Physician Assistant working with the sports medicine team, where he is dedicated to helping patients recover from injury and return to active, healthy lifestyles.

To book an appointment with Gian, 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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First I want to say how thankful I am that my husband talked me into having my knee replaced. Of course he had some help from the doctor who replaced both his knees – Dr. Fredrick Huang. I had been suffering with terrible knee pain, putting off...

- Margaret W.

// Fredrick S. Huang, M.D.

I was lucky to have had a wonderful experience today spending it in the VOA Surgery Center. From the time upon admitting, to surgery, recovery, and discharge the staff was so caring, kind, and compassionate about the patient, and the procedure to...

- Rebecca

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 came to see Dr. Shrivastava at Proliance Orthopedic Associates because I was having shoulder pain which caused problems whenever I used my arm.  Since being treated by Dr. Shrivastava, my shoulder pain is gone which is making my life so much...

- Patricia

// Niket Shrivastava, M.D.

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.

I fell at home in 2014 and needed a half hip replacement, which sounded interesting. Dr. Howlett was the surgeon, and I found him capable, knowledgeable, and kind. Had the surgery at Valley Medical Center, and was at Wesley Homes for Rehab. The...

- Carol B.

// John Howlett, M.D.

As someone from out of town, I emailed and got a fast response and set up an appointment. My back was so bad I could hardly walk four steps. Dr. Chilczuk had me x-rayed, and he knew and cared about my pain. I had to run the gamut before I could...

- Bill

I am a 77-year-old female on whom Dr. Merritt replaced my right hip on March 25, 2015. Surgery went well and his staff were very patient and professional when I did not cooperate too well when I was coming out from the anesthesia!I went home the...

- E. Arlene M.

// Andrew L. Merritt, M.D.

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.