The piezoelectric effect refers to a physical phenomenon where piezoelectric materials generate an electric field when subjected to mechanical stress or undergo mechanical deformation when subjected to an external electric field. This principle underlies the operation of piezoelectric sensors. Piezoelectric sensors have garnered significant attention due to their excellent self-powering capability, rapid response speed, and high sensitivity. With the rapid development of sensor techniques achieving high precision, increased mechanical flexibility, and miniaturization, a range of flexible electronic products have emerged. As the core constituents of piezoelectric sensors, flexible piezoelectric composite materials are commonly used due to their unique advantages, including high conformability, sensitivity, and compatibility. They have found applications in diverse domains such as underwater detection, electronic skin sensing, wearable sensors, targeted therapy, and ultrasound diagnostics for deep tissue. The advent of flexible piezoelectric composite materials has revolutionized the design concepts and application scenarios of traditional piezoelectric materials, playing a crucial role in the development of next-generation flexible electronic products. This paper reviews the research progress on flexible piezoelectric composite materials, covering their types and typical fabrication techniques, as well as their applications across various fields. Finally, a summary and outlook on the existing issues and future development of these composite materials are provided.