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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Though early hip replacement is the new trend For 64 years you have been a good friend It is to thank you that I am writing this ode For you have done your best to carry my loadYou have been in London, Paris and French countryside You have been...

- Pat

January, 2014Dear Dr. Barrett,I am so thankful for your talented surgical skills. My life has changed in so many wonderful ways since June 17th. The following are some of those ways: I can go for walks with my husband. I can actually enjoy...

- Ann

In my early 50’s my back started bothering me. I had had a serious injury in my early 30’s and thought I may need to update my exercise routine. so, I saw a physical therapist and got regular massages. I did not experience any relief...

- Mary G.

// Chris R. Howe, M.D.

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.

I went in to see the skin doc for something little on my face. Really being vain. When I was talking she noticed a mole on my finger. (I hate this mole, came up after a burn) She said that looks like cancer and took a biopsy right away. It came...

- Dawn W.

// John Howlett, M.D.

I came into Proliance Orthopedic Associates to see Dr. Shrivastava because I was unable to lift anything more than a couple of pounds without severe pain in my thumbs. Dr. Shrivastava was very caring and professional. He explained every option...

- Nancy

// Niket Shrivastava, M.D.

My surgery was on May 26, 2015 (my birthday).  I was very aggressive with my rehab and was able to ski that first winter (6 months from surgery) and was already back to hiking.  Today, I do an early morning hike up Pinnacle Peak just outside of...

- Pat

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.

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.

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.