I also am having horrible lower back pain after having a vaginal hysterectomy 4 weeks ago.It almost feels the same as when I was having painful menstrual cramps before the hysterectomy which is half the reason why I decided to go ahead with the surgery.Has anyones doctor ever provided an explanation of why this happens and if it will be permanent. I brought it up to my doctor and he said its not from the hysterectomy and to deal with it. He said everyone has back pain sometimes and take tylenol.I am 38 years old and cant imagine suffering with this forever.It get worse everyday. Any advice would be appreciated.