I had heel spur surgery. ;can the pain come back?

Yes: Heel pain is predominantly treated non-operatively. (about 95%) of the time. The research shows that plantar fascia release or heel spur surgery (unless done for nerve symptoms) has about a 50% success rate. So it is quite possible to have recurrence of symptoms.

Yes. : It depends on what was done for the pain during the surgery? Nerve release? Fascia release? Bone spur excision? If the underlying problem wasn't fully addressed then the pain can come back. In addition, repetitive injury to the heel can recur if one doesn't properly stretch and wear appropriate shoes.

Yes: Assuming you had a plantar fascia release, possible with removal of the spur...The answer is still yes. The pain was from inflammation, not the spur itself. This, in turn, is often caused by mechanical stress. If you don't eliminate that stress with stretching, good shoes and orthotic support, reoccurrence is certainly possible. The few heel spurs I do operate on always get orthotics first.