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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It was the day that my left knee collapsed under my own weight for no apparent reason that I realized that I could no longer ignore the pain in my knees. That moment came as a complete shock to me because I’ve been active all my life. I played...

- Douglas

// Andrew L. Merritt, M.D.

Dr. Shrivastava is very polite, caring, and positive.  I feel that he is truly concerned about my well-being. Jeannie (his medical assistant) is always cheerful and helpful, she is very efficient too. Since coming to Proliance Orthopedic...

- Margaret

// Niket Shrivastava, 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

From the beginning to end, the staff associated with Dr. Shrivastava and he himself have put me at ease, spent the time needed to answer questions and made sure the surgery was successful.  He was patient and kind, answering any and all...

- Alice

// Niket Shrivastava, M.D.

I am so grateful to you for the surgery you did on my right shoulder!  I couldn’t be happier!  Thank you to you and Roxanne for all you have done to get me through my first surgery.  Everything was exactly as the portfolio you gave me said...

- Y.R.

// Craig T. Arntz, M.D.

Dear Dr. Traci Barthel,I’ve never had someone in your position help me like you did. I want to express my appreciation for everything you did to save my finger. When I came to you I was convinced it would have to be amputated. You gave me hope...

- Jennifer

I’m a 57-year-old guy who has worked desk jobs for the past 30+ years. I’ve been active my whole life. I enjoy playing various sports such as baseball, basketball and soccer, and outdoor activities such as long distance running, skiing and...

- Tom

// Andrew L. Merritt, M.D.

I came to see Dr. Shrivastava at Proliance Orthopedic Associates because I broke my wrist.  It was the first time that I had broken anything.  From my first visit here with Zach PA-C, till my last, everyone made me feel comfortable and at...

- Betty

// Niket Shrivastava, M.D.

I had bilateral knee replacements with Dr. Huang years ago and it went great!  So when I broke my knee recently, I went straight back to Dr. Huang at Proliance Orthopedic Associates.  Dr. Huang informed me that I would need a revision surgery...

- Paul

// Timothy B. Alton, M.D.

I first injured my shoulder when I was lifting an electric motor. I felt a pop and immediate pain. The pain was so limiting, I knew I really injured my shoulder. At my first visit with Dr. Merritt, I was very impressed. He really listened to me...

- Mark

// Andrew L. Merritt, M.D.