Hydraulic piston motors are characterized by their excellent starting performance, high transmission torque, good sealing performance, compact design, and lightweight. These attributes make them highly applicable in fields such as construction machinery and marine applications. With the advancement of hydraulic transmission technology, higher performance requirements have been set for hydraulic motors. While extensive research has been conducted on hydraulic pumps, studies focusing on the performance of hydraulic motors remain relatively limited. Therefore, this paper is novel in that, based on the motion and force conditions of the piston, it differs from previous research on swashplate-type machinery by considering the complex structure of the bent-axis motor; it employs a micro finite element method to analyze the oil film characteristics at the piston–cylinder interface in a bent-axis piston motor, the structural changes in the piston assembly in the bent-axis motor are comprehensively considered, and a fluid–structure coupling model for the piston–cylinder interface is established. The leakage and viscous friction power loss equations for the piston–cylinder interface are derived. Simulation analyses are conducted using MATLAB R2016a to reveal the variation patterns of leakage and viscous friction power loss under different operating conditions and structural parameters, providing valuable insights for the operation analysis, energy loss evaluation, structural design optimization, and engineering applications of bent-axis piston motors.