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 had surgery on February 3 of this year. I was terrified and I had not taken care of my ankle for three months prior to surgery. Dr. Novak was really understanding and listened to my problems. I am heavy and he did not mention that but gave me a...

- Katlyn B.

// Erik J. Novak, M.D., Ph.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 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.

I love the ocean. I love the sights, and sounds and smells of a harbor. The birds, the sea life, the people, I love it all. My dream for retirement is to cruise harbor to harbor in my boat enjoying the sights along the way. To explore the harbor...

- James S.

At 83 years old, I was very frightened at the thought of needing surgery on my hip.  I haven’t had surgery since I was 6 years old, and it was not something that I wanted to go through at the age of 83.  I had been limping for over a year,...

- Joanne

// Andrew L. Merritt, 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.

The anterior approach hip replacement surgery I had was a wonderful experience for me. I suffered from an awful hip with severe pain which bothered me for a long time. I was practically unable to walk. The anterior approach to a total hip...

- Arlene

// Andrew L. Merritt, M.D.

All of the staff that I encountered were very helpful.  Never did I feel rushed and whenever I had a question, it was thoroughly answered.  For having surgery, Proliance Orthopedic Associates made it feel the best possible.  Dr. Shrivastava...

- Ted

// Niket Shrivastava, 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

Dear Dr. Barrett,Thank you for taking my husband under your care and facilitating a very successful left total hip replacement outcome.During his follow-up visit you asked him how he viewed his recovery with the anterior approach.  His response...

- Wendy