Lithium-ion pouch cells are widely used in electric vehicles because of their high energy density than other structures. There is an unavoidable external surface pressure between the cells in the process of packing and driving of electric vehicles. The influence of external surface pressure on the main properties of the lithium-ion pouch cell has been studied, which is of great significance to packing batteries and reusing retired cells. In this study, a testing device applied for the measurement of constant external surface pressures of lithium-ion pouch cells was first proposed and the different pressure stress-strain distribution on the external surface of cells under semirigid material pads were analyzed by simulation. The effects of pressure on the capacity, internal resistance, and open circuit voltage of fresh and aged LiNixCoyMnzO2 (NCM) lithium-ion pouch cells are analyzed through experiments under 1 Mpa external surface pressure. The results show that the internal resistance of fresh cells tends to decrease. The average percentage of the maximum reduction of internal resistance is 13.28%. The experiments also demonstrate that the capacity of aging cells increased by 2.3%. Irreversibility of capacity improvement indicates applying appropriate external surface pressure can improve the secondary utilization efficiency of aging cells.