After a hemorrhoidectomy, creams that contain hydrocortisone and lignocaine like Smuth are usually not recommended unless your surgeon specifically advises them, because steroid containing creams can slow wound healing and increase the risk of irritation, and lignocaine may not be needed once the wound starts healing; most surgeons prefer simple soothing options such as warm sitz baths or plain protective ointments, so it is essential to ask your doctor before using Smuth to ensure it is safe for your stage of recovery.