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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Five years ago I had my right knee replaced by Dr. Barrett. When my left knee started going out, I knew I needed to make another appointment at Proliance Orthopedic Associates to see. Dr. Barrett.  My first appointment was with PA-C Jana...

- Thomas

// Timothy B. Alton, M.D.

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.

All of the staff that I encountered were very helpful.  Never did I feel rushed and whenever I had a question, it was thoroughly answered.  For having surgery, Proliance Orthopedic Associates made it feel the best possible.  Dr. Shrivastava...

- Ted

// Niket Shrivastava, M.D.

Dear Dr. Cero,Just wanted to let you know that my surgery is just beautiful. My doctor, who is Dr. Hatfied, that had done my hip was very pleased with the x-ray. He said you did a real good job. How about that? He took more x-rays last week and...

- Rita

“I was given a referral for Dr. Arntz years ago when I injured my left shoulder. He was a pleasant doctor and person. He suggested shoulder repair at that time. And also told me that with my condition, I would need a complete shoulder...

- Denise

// Craig T. Arntz, M.D.

Letter of Appreciation for Dr. HuangI happen to have the opportunity of having you do a left hip replacement for me after the first one failed. It was after hours and you were the on-call Orthopedic Surgeon. You took extra necessary steps to...

- Debra B.

// Fredrick S. Huang, 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.

Dear Proliance Orthopedic AssociatesI am writing you this letter to tell you about my recent left shoulder replacement surgery done on December 13, 2012. Since this is my second shoulder replacement, having had the right one done four years ago,...

- Raymond

// Craig T. Arntz, M.D.

I had total hip replacement April 3, 2012. I hit the slopes for the first time today since surgery. What a difference this new hip makes! Dr. William Barrett you are the best!!!!!!

- Diana

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.