A brief historical review, beginning from the first half of the ninete
enth century, illustrates the fundamental steps in the development of
piston gauges for precise pressure measurements, which were stimulated
by the growth of the steam industry and, generally, by hydraulic appl
ications. The main different operational principles and methods for pi
ston gauge characterization are reviewed and the state of the art is d
iscussed from the standpoint of the achievement of the lowest possible
measurement uncertainty. An analysis is made of the principal current
research problems which are: (i) accurate determination of the effect
ive area of piston-cylinder units at pressures up to several gigapasca
ls; (ii) elastic distortion of piston-cylinder units as a function of
applied pressure. This analysis may be a basis for future research wor
k, with a view to acquiring better knowledge of the parameters which l
imit the accuracy of pressure measurements. Possibilities for the use
of modem piston gauges in liquid media to pressures of gigapascal orde
r are summarized.