Hysterectomy granulation (also known as vaginal vault granulation) is the growth of scar tissue at the top of the vagina when the cervix has been removed. It isn’t common, dangerous or serious but it can cause discomfort, pain and some post operative bleeding. The scar tissue from hysterectomy granulation occurs before the vaginal cuff that is left after the cervix is removed, has healed properly and means that the cut takes longer to heal than normal. Checking for hysterectomy granulation is one of the most common reasons to have a check up at around six weeks. By this time the stitches should have been absorbed and the cut at the top of the vagina should have healed. Not all women are offered a six week check up at the hospital; if this is the case for you you may wish to make an appointment with your GP instead. Treatment for hysterectomy granulation can be simple and might involve the application of silver nitrate to the wound which can be painful for a few women, or the cauterisation of the wound.