Piezotronic sensors and self-powered gadgets are highly sought-after for flexible, wearable, and intelligent electronics for their applications in cutting-edge healthcare and human-machine interfaces. With the advantages of a well-known piezoelectric effect, excellent mechanical properties, and emerging nanotechnology applications, one-dimensional (1D) ZnO nanostructures organized in the form of a regular array have been regarded as one of the most promising inorganic active materials for piezotronics. This report intends to review the recent developments of 1D ZnO nanostructure arrays for multifunctional piezotronic sensors. Prior to discussing rational design and fabrication approaches for piezotronic devices in precisely controlled dimensions, well-established synthesis methods for high-quality and well-controlled 1D ZnO nanostructures are addressed. The challenges associated with the well-aligned, site-specific synthesis of 1D ZnO nanostructures, development trends of piezotronic devices, advantages of an ordered array of 1D ZnO in device performances, exploring new sensing mechanisms, incorporating new functionalities by constructing heterostructures, the development of novel flexible device integration technology, the deployment of novel synergistic strategies in piezotronic device performances, and potential multifunctional applications are covered. A brief evaluation of the end products, such as small-scale miniaturized unconventional power sources in sensors, high-resolution image sensors, and personalized healthcare medical devices, is also included. The paper is summarized towards the conclusion by outlining the present difficulties and promising future directions. This study will provide guidance for future research directions in 1D ZnO nanostructure-based piezotronics, which will hasten the development of multifunctional devices, sensors, chips for human-machine interfaces, displays, and self-powered systems
