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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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.

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

Thanks from a Mountain ClimberDr. Barrett performed total knee replacements on both of my knees. They are not like original equipment, but they do work well enough for me to do this!

- Placeholder

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 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.

Below is a great testimonial from Bob! Bob received a bilateral knee replacement by Dr. Barrett. We want to thank Bob for his recommendation and for being a part of the Proliance Orthopedic Associates extended family!

- Bob

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

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.

In June 2010, I had surgery on my lower back. Until then, I was in serious and debilitating constant pain and had been for many years. I was on large dosages of pain meds that only took the edge off of the pain I was experiencing. The meds were...

- Lynne

// Jason H. Thompson, M.D.

I can’t say enough good things about Dr. Howe and his staff. I came to Dr. Howe after being told by two other surgeons that nothing was wrong with my back, and I just had a bulging disk and after injections, it would heal itself. I did...

- Samantha

// Chris R. Howe, M.D.