The era of the Internet of Things has created an increasing demand for self-powered, flexible sensors. Among various intelligent materials, poly(vinylidene fluoride) (PVDF) has emerged as a promising candidate due to its flexibility, processability, biocompatibility, and unique electroactive properties. PVDF's distinctive piezoelectric, pyroelectric and triboelectric characteristics make it particularly suitable for self-powered flexible sensing applications. While research has primarily focused on enhancing the electroactive β phase, PVDF-based sensors still face limitations in their piezoelectric and pyroelectric performance. External strategies such as electrode design, stress/heat transfer improvements, microstructure optimization, and multifunctional synergy show great potential for improving sensing performance. Although numerous reviews address PVDF's polar phase enhancement, there is limited literature overviewing external strategies for performance optimization. This review focuses on external strategies for enhancing the sensing performance of PVDF-based sensors and their emerging applications. It also addresses practical challenges and future directions in PVDF-based sensor development.