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In the past two decades, piezoelectric ceramic/polymer composites with different connectivities have been developed for transducer applications such as hydrophones, biomedical imaging, nondestructive testing, and air imaging. Recently, much attention has been given to fine-scale piezoelectric ceramic/polymer composites. These composites allow higher operating frequencies, and thus increased resolution, in medical imaging transducers. In this review, methods for processing fine-scale piezoelectric ceramic/polymer composites are discussed. The current capabilities, strengths, and weaknesses of each method are compared. The importance of spatial scale in composite performance is also reviewed. Several of the processing methods have demonstrated composites with fine-scale ceramic phases (<50 μm), and others have potential to form composites with a ceramic scale of under 20 μm.