The Future Is Here

Providing Superior Results

The Proliance Center for Outpatient Spine and Joint Surgery is the only surgical facility in the Pacific Northwest designed and optimized specifically for spine and joint surgery. State-of-the-art technology and surgical expertise focused on providing superior results and experience for every patient.

Save Money

Outpatient surgery typically costs about 50% less at our AAAHC-approved surgical facilities compared to the same surgery in a hospital.


Surveys show that outpatient surgery is safer, with less risk of Hospital Acquired Infections. Recover at home where it is both safer and more comfortable.

We’re an Elite Care Center

Official, Accredited Joint Replacement Surgeons for The Pro Football Hall of Fame

Ready for a joint replacement? Now you can get the same treatment that former pro football players receive. Right here. Learn more.

Choose The Proliance Center for Outpatient Spine and Joint Surgery If You Want:

State-Of-The-Art Technology

The only surgical facility specifically built for outpatient spine and joint surgery featuring the most advanced robotic assist tools for unparalleled precision.

The Highest Level Of Certification

An AAAHC-approved surgical facility.

Save Money

Outpatient surgery typically costs about 50% less than the same surgery in a hospital due to the higher overhead and fees the surgeon must pass on to patients.


Unlike large hospital facilities COSJS offers easy parking right in front of the entrance, with easy access to I-5 and Highway 99.

The Highest Expertise

Your appointment will be scheduled within 7 days (unless your insurance authorization is delayed)

Less Risk

Avoid the risks of infection associated with hospitalization after surgery.

A Warm and Personal Experience

With a lot less patients to care for than a big hospital our staff can focus on the needs of every patient.

What Our Patients Think About COSJS

Matt P. – Shoulder Surgery

Tom J. – Knee Replacement Surgery

CORI – Robotics Assisted Technology

Our Areas of Focus

Man holding knee in pain

Total Joints

Our surgeons perform minimally invasive partial knee replacement, total knee replacement, hip replacement, shoulder replacement, and ankle replacement using state-of-the-art techniques at the first purpose-built outpatient joint replacement center in the Pacific Northwest.

Doctor Inspecting Patient's Back Pain


Our expert spine surgeons perform same-day, outpatient spinal procedures using advanced minimally-invasive techniques that allow for faster recovery after surgery. This means you safely recover in the comfort of your own home and avoid the risks associated with hospitalization.

Doctor and Patient Talking

Interventional Pain Management

Our board-certified interventional pain management physicians have decades of experience using minimally invasive percutaneous techniques to treat painful conditions. Their leadership of our outstanding team will ensure your procedure at COSJS is safe, effective and convenient.