Quantum well systems based on semiconductors with the wurtzite crystalline structure have found widespread applications in photonics and optoelectronic devices, such as light-emitting diodes, laser diodes, or single-photon emitters. In these structures, the radiative recombination processes can be affected by (i) the presence of strain and polarization-induced electric fields, (ii) quantum well thickness fluctuations and blurring of a well–barrier interface, and (iii) the presence of dislocations and native point defects (intentional and unintentional impurities). A separate investigation of these phenomena is not straightforward since they give rise to similar effects, such as a decrease of luminescence efficiency and decay rate, enhancement of the Stokes shift, and strong blueshift of the emission with increasing pump intensity. In this Perspective article, we review the usefulness of measurements of the quantum well luminescence as a function of the hydrostatic pressure for both scientific research and the development of light-emitting technologies. The results presented here show that high-pressure investigations combined with ab initio calculations can identify the nature of optical transitions and the main physical factors affecting the radiative efficiency in quantum well systems. Finally, we will discuss an outlook to the further possibilities to gain new knowledge about the nature of recombination processes in quantum wells using high-pressure spectroscopy.