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.

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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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Proliance Orthopedic Associates and Dr. William Barrett are rare finds in healthcare and surgery.  In my 72 year lifetime, and 50 years as a health care professional, I have a multitude of experiences with doctors, health care systems and...

- B. Noelani Hong

I broke my wrist while snowboarding, which is how I met Dr. Howlett. I came into the office for a consultation after I had my cast taken off, and Dr. Howlett recommended surgery. Since surgery was the recommendation, I reluctantly agreed. I was...

- Roy W.

// John Howlett, M.D.

Even when military retiree John Clements was living with bone-on-bone pain in his right knee, he started his day at 6 a.m. and kept going until about 10 p.m. He lived with arthritic deterioration in his knee for 20 years.Clements had his right...

- Clement

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 fell at home in 2014 and needed a half hip replacement, which sounded interesting. Dr. Howlett was the surgeon, and I found him capable, knowledgeable, and kind. Had the surgery at Valley Medical Center, and was at Wesley Homes for Rehab. The...

- Carol B.

// John Howlett, 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 was told by 2 surgeons that I needed both knees replaced but I’d better get them done together as it’s so painful that I’d never come back to get the second one done. I was also told that my activities would be very limited as...

- Monica F.

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.

I had degenerative disc in my right hip and suffered for four to five years in pain with the last two or three years being unbearable. I couldn’t tie my shoes, sitting in the car was difficult, and I could no longer participate in yoga classes...

- John

// Andrew L. Merritt, M.D.

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