After hemorrhoid surgery, almost a month, still a little hot pain, may be granuloma, infection, hemorrhoid recurrence and other factors. 1. granuloma: after surgery, may be localized will form inflammatory granuloma, in defecation or on the local cleaning, there will be hot pain, accompanied by mild itching. 2. Infection: after surgery, due to the existence of surgical incisions, do not pay attention to the surgical incision site clean, may induce infection, by inflammatory substances stimulation, will make the local tingling sensation, but also affect the wound healing. 3. hemorrhoid recurrence: one month after surgery, hemorrhoids recurrence, or residual hemorrhoids nucleus is not completely eliminated, will often appear hot and painful feeling. After hemorrhoid surgery, almost a month, or a bit of hot pain, and there are other abnormalities, it is recommended to consult a doctor for review, to understand the causative factors, timely treatment, to avoid aggravation of the condition, affecting the normal postoperative recovery.