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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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 visited the Proliance office in severe pain. Forty years ago, I had been in a terrible car accident as a teenager where my hip was dislocated and had been walking with a limp for the past 10 years. It was getting harder to ride my bicycle and...

- Juan S

Check out this wonderful testimonial video from a Proliance Orthopedic Associates patient! Cathy C. shares her POA experience through kind words about her knee replacement surgery and POA orthopedic surgeon, Dr. William Barrett. Cathy, as a part...

- Cathy

“I had thumb reconstruction with Dr. Shrivastava at Proliance Orthopedic Associates.  Everyone at Proliance Orthopedic Associates is so nice and professional.  I’ve had three surgeries here with two to go, I wouldn’t go anywhere else...

- Victoria

// Niket Shrivastava, M.D.

Over the years, Pauline has had four surgeries with Proliance Orthopedic Associates orthopedic physician Dr. Craig Arntz. She has had two hand surgeries, as well as both right and left shoulder surgery. She discusses how she is virtually...

- Pauline

// Craig T. Arntz, M.D.

To Dr. Merritt,On a Saturday in April of 2014, I had climbed a step ladder to reach a bowl from a cupboard. Somehow, I forgot that I was on a ladder, and fell. I couldn’t get off the floor and had to call for help. I had fractured my hip.That...

- Nicole

// 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.

POA patient Betty, 89, recently received hip replacement surgery from Dr. Merritt. She details the discomfort that led to her decision to schedule orthopedic surgery and her experience at Proliance Orthopedic Associates. Her peers call her “the...

- POA Patient Betty

// Andrew L. Merritt, M.D.

Full right hip replacement by Dr. Barrett 12-19-16.  PAIN-FREE hike up Diamondhead on 7-15-17.  Thank you Proliance Team!!!!

- Brian C.

I had the pleasure of being a patient of Dr. Howe’s. Formerly in the Nursing/Surgical field 10+ years at Swedish and 10+ years in a Supervisory position, seeing the rapid change in healthcare, I was amazed by the kindness, compassion, and...

- Christine R.

// Chris R. Howe, M.D.