The mechanical deformation of BiSrCaCuO/Ag composites made by the powder-in-tube method is a multi-step process. The main difficulty is that the mechanical properties of the ceramic powder are very different from those of the Ag sheath. A key parameter is the core density, which changes during mechanical deformation. In this review, basic concepts of the classical mechanical deformation theory are briefly discussed. Simple descriptions of deformation processes like pressing, rolling, drawing and extrusion are also presented. The term 'freedom parameter', f , is introduced to illustrate the influence of various constraint factors on the mass-flow behaviour. Simple pictures including mass redistribution and the powder-flow model are presented for interpreting the plastic deformation process of the composites. Experimental results are reviewed and our proposed pictures and models are applied for discussion.