Recently, the application of uniaxially stretched poly(l-lactic acid) (PLLA) films to speakers, actuators, and pressure sensors has been attempted, taking advantage of their piezoelectric performance. However, the shear piezoelectric constant d14 of uniaxially stretched PLLA film is conventionally 6–10 pC N−1. To realize a high sensitivity of pressure sensors, compact speakers, and actuators, and a low driving voltage, further improvement of the piezoelectric performance is desired. In this study, we carried out solid-state extrusion (SSE) to stretch and orient poly(d-lactic acid) (PDLA) and verified its effects on piezoelectric performance. By SSE, we were able to improve the mechanical strength and elastic modulus of PDLA samples. Furthermore, the d14 of the samples was significantly increased to approximately 20 pC N−1.