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!

Surgeons in blue scrubs and masks collaborate in an operating room during surgery.


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!

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.

PATIENT SUCCESS STORIES

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Dear Dr. Cero,You are an excellent surgeon. Both of my surgeries, on my leg and arm went smoothly. For a woman turning 80, I give you a lot of the credit. You prepared both my family and me for both of the surgeries and gave me excellent care...

- Ramona Wolfe

I have lived a lot of my life with limitations.  Between genetic anomalies and sports injuries, I’ve endured knee pain for more than 25 years.  As time progressed, the pain got increasingly worse and the list of things I couldn’t do got...

- Caroline E.

// Andrew L. Merritt, M.D.

I love the ocean. I love the sights, and sounds and smells of a harbor. The birds, the sea life, the people, I love it all. My dream for retirement is to cruise harbor to harbor in my boat enjoying the sights along the way. To explore the harbor...

- James S.

I can’t say enough good things about Dr. Howe and his staff. I came to Dr. Howe after being told by two other surgeons that nothing was wrong with my back, and I just had a bulging disk and after injections, it would heal itself. I did...

- Samantha

// Chris R. Howe, M.D.

Before I came to Proliance Orthopedic Associates I was VERY discouraged.  I was in pain every day for months, but being told nothing was wrong.  The day I met Dr. Shrivastava and Jeannie, my world brightened.  They assured me that I would get...

- Kimberly

// Niket Shrivastava, M.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.

I want to tell how much I’ve waited for my hand back. To help people, like you do doctor, it means so much to me to use my hand as a helping hand for others. I’ve prayed for this all year. Doing everything one handed, has been challenging.I...

- Marlene – Patient/Friend

As someone from out of town, I emailed and got a fast response and set up an appointment. My back was so bad I could hardly walk four steps. Dr. Chilczuk had me x-rayed, and he knew and cared about my pain. I had to run the gamut before I could...

- Bill

I injured my right knee and ankle while racing motocross back in August of 2014. I was trying to ‘look young’ and ended up colliding with another racer and landing on my right side. I went to Valley Medical Center where I was placed into a...

- Ken

// Andrew L. Merritt, M.D.