Joint Replacement

With State-Of-The-Art Technology

At the Proliance Center for Outpatient Joint Replacement, our surgeons use state-of-the-art technology and techniques to perform:



Minimally-invasive partial knee replacement



Total knee replacement



CORI Robotic Assist



Shoulder replacement



Ankle replacement

Contact Us

By utilizing the most advanced options for pain management, most of our patients are able to get up and walk within an hour of surgery. Expediting recovery so our patients don’t need a hospital stay helps avoid many of the risks associated with hospitals.

We are the only outpatient surgery center in the Pacific Northwest that specializes in joint and spine surgery. So, another of the unique services we offer is overnight, 23-hour observation for patients who are not same-day candidates. Thanks to our specialized focus and much lower patient volume than a hospital, whether you go home the day of surgery or the next day, our expert staff will ensure your stay is comfortable and focused on your needs.

Joint Replacement Surgeons

The Benefits of Robotics-Assisted Surgery

The Surgeons at COSJS who specialize in knee replacement were the first in the Northwest to utilize the highly advanced CORI Robotics-Assist technology. This is the state of the art in knee replacement. So, if benefits like faster recovery, a smaller incision, a more natural feeling knee motion with your new artificial knee, less complications, less pain, better accuracy,… are important to you, click the link below to learn more about CORI Robotic-Assisted Surgery compared to traditional knee replacement surgery.

Learn More About CORI

Preparing For Surgery

The more you know, the better prepared you are to participate in your recovery. So, part of our unique approach to joint replacement includes preparatory classes taught by physicians to ensure sure our patients know everything that will help them achieve the best surgery experience and fastest recovery possible. This additional level of care includes a face-to-face pre-operative visit with your surgeon, a book that ensures you have everything you need to know, a comprehensive physician-led seminar, a pre-operative physical therapy evaluation, and use of a state-of-the-art online interface to ensure that your experience will be personalized and optimized specifically to your needs.

Day Of Surgery

Our concierge service guarantees that your experience at The Proliance Center for Outpatient Spine and Joint Surgery will be a pleasant from arrival to departure. Our staff is specifically trained on the needs of joint and spine surgery patients, and our staff-to-patient ratio is much higher than what is typical in a hospital setting to ensure we are available at all times to meet your needs.

Upon arrival at the surgery center, you will be greeted at the front desk and complete the check-in process for surgery. Your insurance information will be verified, and any patient responsibility payment required by your insurance company plan will be collected if it has not already been paid.

Next, you will be brought back to the pre-surgical area where you will meet the pre-surgery nurse who will help you get ready for surgery. You will change into a surgical gown; your clothing will be stored, and you will have the necessary IV’s placed for use during your surgery.

Before your scheduled surgery time, you will meet your surgeon again, who will “sign the site” of your surgery and answer any remaining questions. You will also meet the anesthesiologist who will review with you the anesthetic plan for your surgery and discuss any additional anesthesia procedures (regional blocks or pain medicine catheters, etc.) that your surgeon may have requested for your comfort. These procedures may be performed before you enter the operating room. Finally, you will meet the operating room circulating nurse who will confirm your identity and the surgery to be performed. You will then be taken to the operating room.

Once in the operating room, your general anesthesia will be administered, and you will be positioned accordingly for your surgery. At the completion of your surgery, you will be awoken from the anesthesia and taken to the Recovery Room where you will have your own post-operative nurse monitoring your recovery and transition to home.

During this time, you will be instructed as needed in mobility after surgery and prepared for discharge to home when you are ready. Although most of our patients are able to go home on the day of their surgery, we are one of only a few centers in the Pacific Northwest offering 23-hour observation. So, if your doctor has decided that you need an overnight stay, you will be moved to one of the overnight suites for the remainder of your stay. Our private rooms also provide convenient meal service from a wide selection of local restaurants. No “hospital food” here!

All our staff are passionate about doing everything they can to get you back “in the game” as quickly as possible.

After Surgery

After your surgery you will be contacted by both the care team and your surgeon to ensure proper recovery and to answer questions. At any time, your care team can be reached via the surgeon’s clinic during business hours or via the answering service/paging operator for after-hours emergencies.