Hydrogels have emerged as promising materials for flexible electronics due to their unique properties, such as high water content, softness, and biocompatibility. In this perspective, we provide an overview of the development of hydrogels for flexible electronics, with a focus on three key aspects: mechanical properties, interfacial adhesion, and conductivity. We discuss the principles of designing high-performance hydrogels and present representative examples of their potential applications in the field of flexible electronics for healthcare. Despite significant progress, several challenges remain, including improving the antifatigue capability, enhancing interfacial adhesion, and balancing water content in wet environments. Additionally, we highlight the importance of considering the hydrogel–cell interactions and the dynamic properties of hydrogels in future research. Looking ahead, the future of hydrogels in flexible electronics is promising, with exciting opportunities on the horizon, but continued investment in research and development is necessary to overcome the remaining challenges.

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The adhesion between flexible epidermal sensors and human skin is essential for maintaining the stable functionality of the sensors. However, it is still challenging for epidermal electronic devices to achieve durable adhesion to the surface of the skin, especially under sweaty or humid conditions. Here, we report a silk fibroin-polyacrylamide (SF-PAAm) double network (DN) hydrogel adhesive with excellent biocompatibility, strong and durable adhesion on wet surfaces, and tunable adhesive properties. The hydrophilic PAAm network greatly improves the water retention capability of the DN hydrogel and reduces the β-sheet crystalline content of SF, leading to excellent adhesive properties of the hydrogel across a wide range of humidity. The SF-PAAm DN hydrogel adhesive can be readily integrated with different epidermal sensor arrays and performs very well in real-time on-body sweat sensing. The SF-PAAm DN hydrogels have great potential for application in various epidermal healthcare sensors as well as medical adhesives for other medical applications.