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 Occupational Medicine Physician Assistants

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Alma Gomez, PA-C

Alma Gomez, PA-C, joined Proliance Orthopedic Associates in 2025 and, with over 20 years of experience as a certified physician assistant, brings a depth of expertise in occupational health, emergency medicine, urgent care, and clinical trials to our team.

To book an appointment with Alma, click the link below!

Book An Appointment
Smiling bald man with gray beard in business suit and striped tie on blue background

Patrick Czaplicki, PA-C

Patrick Czaplicki, PA-C, joined POA in 2025 and specializes in the field of occupational medicine, treating a wide range of workplace injuries, developing comprehensive treatment plans that promote efficient recovery and a safe return to optimal health.

To book an appointment with Patrick, 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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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.

“I had an injury while on a beach vacation. Dr. Niket Shrivastava offered me guidance remotely. I down played the injury. Dr. Shrivastava, very tactfully, described the severity of my condition and provided me a course of action which had...

- Parag

// Niket Shrivastava, M.D.

I received foot fusion surgery for arthritis on Nov. 11, 2015. I feel great now. I just went back to my bowling in March. I am also able to walk my dog at least six blocks, where I was only able to walk a few blocks before. Dr. Novak was very...

- Rosalie L.

// Erik J. Novak, M.D., Ph.D.

We spend our summer months traveling so I put off going to the doctor until June of 2013 when I was having so much pain that we had to cut our travel plans short and had to return home. I was told that I needed a total hip replacement, but I...

- Joy

// Andrew L. Merritt, M.D.

Dr. John Howlett is awesome! I’m a traumatic brain injury patient; broken neck along with other injuries including my right hand was injured at the time of I was a passenger in an ATV accident.  I was flown from Yakima to Harborview in...

- Anita

// John Howlett, M.D.

I was referred by someone whose coworker had surgery by a different surgeon from Proliance Orthopedic Associates. When I was ready to schedule my appointment, that particular surgeon’s schedule was full, so I saw Dr. Merritt instead.Based on my...

- Lynn

// Andrew L. Merritt, M.D.

Dear Dr. Cero,It has been a long journey from shattered clavicle to age division National Champion! Thank you & your team at Proliance Orthopedic Associates so much for being my partner in recovery!I appreciated our discussions about the...

- Kerry

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 am a 77-year-old female on whom Dr. Merritt replaced my right hip on March 25, 2015. Surgery went well and his staff were very patient and professional when I did not cooperate too well when I was coming out from the anesthesia!I went home the...

- E. Arlene M.

// Andrew L. Merritt, M.D.

I was living in constant pain, 24 hours a day for years! Before I met Dr. Merritt I was always limping and was limited on the activities that I could do with my young daughter, especially after a full day of work. I had seen other doctors who...

- Abeslin C.

// Andrew L. Merritt, M.D.