Processing and properties of high power piezoelectric transformer (PT) fabricated by PIM with nano-sized piezoelectric powders are demonstrated. The high power characteristics of a PMed dome-shaped PT were examined by the lighting test for a 55watt PL lamp. The 55watt PL lamp was successfully driven by the PIMed PT with sustaining efficiency higher than 98%. The transformer with ring/dot area ratio of 2.1 exhibited the maximum properties in terms of output power, efficiency and temperature stability.