Piezoelectric ceramics play an important role in electrical and electronic devices such as sensors, actuators, and microelectronic devices. However, traditional ceramics are difficult to be used in various process industries due to their high brittleness and low flexibility. Therefore, piezoelectric paint sensors have been designed for application to the curved surfaces of complicated structures. Furthermore, recently, significant attention has been focused on the development of paint sensors that can be used as structure health monitoring sensors for vibration, impact, and acoustic emission. Several studies have successfully demonstrated the possibility that smart paint sensors can take the place of traditional ceramic sensors. In this review, we briefly introduce the concept of the piezoelectric paint sensors and the expected application field as well as their preparation and history.