Proliance Rainier Orthopedic Institute

20920 SR 410 E

Facility Type: Care Center

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Proliance Rainier Orthopedic Institute (ROI) is committed to providing the highly skilled care necessary to improve your health and well-being. You can think of us as an extension of your current medical health team. If your family doctor believes that your condition requires the attention of a specialist, you can count on us to help. It is our goal to bring you the most advanced orthopedic solutions, close to home.

Hours of Operation:

M-F 8a-430p

Proliance Rainier Orthopedic Institute

20920 SR 410 E Suite 110
Bonney Lake, WA 98391-6302

(253) 848-1126




Specializing in:

  • Foot and Ankle Orthopedic Surgery
  • Hand Surgery
  • Hip and Knee Orthopedic Surgery
  • Knee Orthopedic Surgery
  • Orthopedic Sports Medicine
  • Orthopedic Surgery
  • Orthopedic Trauma Surgery
  • Shoulder Orthopedic Surgery
  • Shoulder and Elbow Orthopedic Surgery
  • Spine Surgery

Patient Resources

Preparing for Your Surgery


As a patient awaiting surgery, there are critical details you should be aware of before your arrival. Please carefully read these instructions, along with the pre-operative and post-operative instructions below, to ensure a smooth experience. We eagerly anticipate serving you as a patient and trust that this information will address any questions or concerns you may have. Feel free to reach out to us with any additional inquiries.


We are unable to accommodate young children as guests in the surgery center. If your child is the patient and he/she is under 18 years of age, a parent or guardian must remain in the facility at all times. If you have a power of attorney or custodial responsibility you must bring appropriate documentation.


If you have been instructed to have laboratory tests, EKGs or X-rays, please have these done 7-14 days prior to surgery.

Pre-Operative Instructions


  • Do not eat or drink after midnight the night before surgery, unless instructed otherwise by the anesthesiologist. This includes refraining from gum, mints, hard candy or water.
  • Do not take medication unless instructed by the anesthesiologist or pre-op nurse.
  • Your anesthesiologist will call you the day or evening before surgery to answer questions and provide instructions.
  • Wear comfortable clothing.
  • Leave valuables and jewelry at home – including piercings.
  • Do not wear makeup.
  • If you have removable dental work (dentures, partials, etc.) or contact lenses, be prepared to remove them before surgery if requested by anesthesia.
  • You must have someone available to receive discharge instructions and drive you home. You will not be allowed to drive yourself home due to the medication given during surgery.
  • To ensure the privacy of all patients, we ask that you bring only one guest with you for support.
  • We will call you one business day before surgery to tell you the exact time you should arrive. We may adjust your arrival time in the case of a cancellation or if another surgery is running long.
  • Stop consumption of all forms of ASPIRIN, ADVIL, IBUPROFEN, ALEVE, FISH OIL, VITAMIN E or other over-the-counter blood-thinning medications 7-10 days prior to surgery.
  • Drink plenty of water the day before surgery to make IV placement easier.
  • Take a shower the morning of surgery.

Post-Operative Instructions


  • We will inform your escort of the approximate time that your surgery will conclude and when they will be needed to meet with the surgeon. They should be available by cell phone if they are not in the waiting room.
  • If your surgery is expected to take less than one hour to complete, we request that your escort stay in the waiting room. If your surgery is expected to take more than one hour to complete, your escort may leave the waiting room; however, we request they be available by cell phone and remain within 20 minutes of the facility.
  • Written instructions specific to your surgery will be provided to you and your escort prior to your discharge from the surgery center.
  • We recommend that someone stay with you for 24 hours after surgery to monitor your care.
  • Pain medication may cause constipation. You will need to drink plenty of water, eat foods high in fiber and possibly consider an over-the-counter stool softener while taking pain medication.

Additional Locations

Care Center

3801 5th Street SE Suite 110
Puyallup, WA 98374-2106

(253) 848-1126


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