In the construction of the Qinghai-Tibet Power Transmission Line (QTPTL), cast-in-place piles (CIPPs) are widely applied in areas with unfavorable geological conditions. The thermal regime around piles in permafrost regions greatly affects the stability of the towers as well as the operation of the QTPTL. The casting of piles will markedly affect the thermal regime of the surrounding permafrost because of the casting temperature and the hydration heat of cement. Based on the typical geological and engineering conditions along the QTPTL, thermal disturbance ofa CIPP to surrounding permafrost under different casting seasons, pile depths, and casting temperatures were simulated. The results show that the casting season (summer versus winter) can influence the refreezing process of CIPPs, within the first 6 m of pile depth. Sixty days after being cast, CIPPs greater than 6 m in depth can be frozen regardless of which season they were cast, and the foundation could be reffozen after a cold season. Comparing the refreezing characteristics of CIPPs cast in different seasons also showed that, without considering the ground surface conditions, warm seasons are more suitable for casting piles. With the increase of pile depth, the thermal effect of a CIPP on the surrounding soil mainly expands vertically, while the lateral heat disturbance changes little. Deeper, longer CIPPs have better stability. The casting temperature clearly affects the thermal disturbance, and the radius of the melting circle increases with rising casting temperature. The optimal casting temperature is between 2 ℃ and 9 ℃.