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Compared with the ground service environment, the evolution of concrete performance under a water pressure service environment is quite complex with variable conditions. Because of the coupling effect of load and pressure, water has a special impact on the strength and deformation of concrete. Meanwhile, harmful ions usually react with the cement matrix as pressure water seepages into concrete, resulting in the reduction of concrete durability. Based on this, this study provides a comprehensive review of the strength, deformation, and durability of concrete under water pressure environment. It is found that microcracks in concrete tend to propagate and connect after exposure to water pressure, leading to a decrease in strength and deformation performance. The average loss rate of strength and elastic modulus increased by 12.15% and 10.97%, respectively, when water pressure increased by 1 MPa. However, the loading process of water‐confining pressure makes concrete more compact, where the static and dynamic mechanical performance can be improved. Besides, due to the enhancement of excess pore water pressure, concrete strength under a high strain rate increases by 61.79% compared to static load. The effect of water pressure increases the ability of the liquid to penetrate concrete, and corrosive ions trapped within the liquid and freeze–thaw caused by external temperature changes would further reduce the concrete durability. This study points out that static and dynamic loading characteristics and durability of concrete under multi‐factor coupling in a water pressure environment will be the future research direction. The summarized contents can provide guidance for construction and research of concrete engineering under a water pressure environment.