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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.

OUR APPROACH TO ASC CARE

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!

What Sets Us Apart

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!

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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!

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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!

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UNMATCHED
SPECIALIZED
CARE

Find the care you need, when and where you need it, with the region's most comprehensive orthopedic care.

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.

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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.

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

Growing up, I was always very active in sports and a gymnast for many years. At 46 years of age, an old shoulder injury, aggravated by my occupation, brought my life to a stand-still. I was walking around with my hand in my pocket to ease the...

- Sandra

// Craig T. Arntz, 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.

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.

We wanted to write and say thank you for your work on George’s hand injury. It has been 2.5 years since the accident and he has regained 80-85% use of his right hand, including the ability to write and fish. We truly believe you were an...

- George and Dottie J.

// John Howlett, M.D.

I had full knee replacement surgery on my right knee by Dr. Susan Cero in July 2017. I am extremely pleased with the results, it now has been six weeks, and I am able to get back on my bike trainer to rebuild my muscle tone and prepare for my...

- Gary

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

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 came to see Dr. Shrivastava at Proliance Orthopedic Associates because I was having shoulder pain which caused problems whenever I used my arm. Since being treated by Dr. Shrivastava, my shoulder pain is gone which is making my life so much...

- Patricia

// Niket Shrivastava, M.D.

I am blessed to have found great medical personnel at Proliance Orthopedic Associates. As soon as I come into the building, I can feel that I am cared about and that I will be in good hands. I am also blessed that I was referred to Dr. Thompson...

- Richard R.

// Jason H. Thompson, M.D.

I was referred to Dr. Howe by Dr. Wagner at the UW. I had been seeing Dr. Chapman at UW originally for several years because of my lower back issues. He wanted to do two surgeries a week a part fussing T7 thru S1. I would have lost 40% mobility...

- Karen G.