For third generation semiconductors, for example, wurtzite ZnO and GaN, a piezopotential will be induced in these non-centrosymmetric structures through applying a stationery deformation. The synchronous occupancy of semiconductor engineering, piezoelectric property, and optical excitation processes in these materials brings about outstanding device performances, such as promoting carrier creation, transfer, separation, or suppressing carrier recombination. Enormous research interests have been sparked in this emerging field known as the piezo-phototronic effect. This manuscript reviews the fundamental research progress in enhanced photovoltaic efficiency by this effect, which not only provides a comprehensive coverage of the theoretical and experimental works illustrating the basic physics for understanding the enhanced solar cells when an external mechanical strain is applied, but also gives new insight into designing high-performance solar cells.