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.

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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 have lived a lot of my life with limitations.  Between genetic anomalies and sports injuries, I’ve endured knee pain for more than 25 years.  As time progressed, the pain got increasingly worse and the list of things I couldn’t do got...

- Caroline E.

// Andrew L. Merritt, M.D.

Even when military retiree John Clements was living with bone-on-bone pain in his right knee, he started his day at 6 a.m. and kept going until about 10 p.m. He lived with arthritic deterioration in his knee for 20 years.Clements had his right...

- Clement

Dear Dr. Cero,You are an excellent surgeon. Both of my surgeries, on my leg and arm went smoothly. For a woman turning 80, I give you a lot of the credit. You prepared both my family and me for both of the surgeries and gave me excellent care...

- Ramona Wolfe

Dr. Cero has successfully operated on my youngest daughter Rebecca, my wife Lyn, and me on five  occasions. I had three “industrial incidents” that created much pain in my left knee on one occasion and my right knee on 2 occasions. After...

- James

Dear Dr. Cero. Our Hero!! I have tried many times to find the words to say how much you have improved George's ability to walk. Every step he takes I think of you with excitement. How can I express our profound gratitude in the future of...

- Gin and George

Below is a great testimonial video from our patient Donald! He said, “From the first day I walked in here I had zero pain. Not one thing that was done to me in the hospital caused me any pain.” We’re so glad that we could help Donald with...

- Donald

I was referred to Proliance and Dr. Howlett due to a fall I took where I fractured my left arm just below the shoulder. When I first went in to see him I was in quite a bit of pain. The people who worked with me were very conscientious of that...

- Carolyn M.

// John Howlett, M.D.

I could barely walk. Movement–even turning in bed–was torture. This went on for years. Two hip replacements later, three months apart, and it was as if I’d been granted a new life. The surgeries, which I’d been dreading,...

- Judy

I finally decided to do something serious about my basketball knee (surgery in 1978 to remove part of meniscus cartilage), injured from playing at 45 long after I should have quit. So, I had knee replacement about 1 year ago – Sept 9, 2014....

- Eugene W.

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