Abdominal pain one year after hysterectomy may be caused by poor wound healing, gastrointestinal diseases, inflammatory factors and other reasons. 1. Poor wound healing: after hysterectomy, due to the proliferation of local scar tissue, some nerve endings may grow into the scar tissue, and if the nerves are more sensitive, it may lead to abdominal pain. 2. Gastrointestinal diseases: after hysterectomy, if there is enteritis, chronic gastritis, intestinal cramps and other conditions, it will lead to local pain. 3. Inflammatory factors: after hysterectomy, if the patient is infected by pathogens, it may lead to inflammation and local adhesions, such as intestinal adhesions, tubal adhesions, etc. These tissue adhesions may lead to abdominal pain one year after the operation, and it may lead to difficulties in pregnancy or even infertility. There may also be other reasons for abdominal pain one year after hysterectomy, so it is recommended to go to the hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or therapy under the guidance of the doctor.