The cause of back pain after hysterectomy may be caused by pelvic congestion, or it may be caused by damage to the ureter caused by the surgery, or it may be caused by pelvic inflammation and other diseases. It is recommended to consult a doctor in time to identify the cause and treat it under the doctor’s guidance. 1. Pelvic congestion: after hysterectomy, most patients will experience pelvic congestion, which may cause back pain, but the pain is usually not very intense. This situation usually does not require special treatment, after a period of time will be relieved by itself. 2. Surgical damage to the ureter: During surgery, if the ureter is damaged, urine cannot be discharged in time, which may lead to pyelonephrosis in severe cases, and this will also cause back pain, and the pain will gradually worsen with the development of the disease. 3. Pelvic inflammatory disease: back pain after surgery may also be caused by pelvic inflammatory disease, if there is inflammation in the pelvis, there will be back pain symptoms, accompanied by pain in the lower abdomen and abdominal discomfort such as a feeling of falling. If you have lower back pain after hysterectomy, we suggest that you consult a doctor to determine the cause of the pain and the doctor will choose the treatment according to your condition.