Printed electronics has promised to deliver low-cost, large-area and flexible electronics for mass-market applications for some time; however, so far one limiting factor has been device performance. Over the last decade, great progress has been made in terms of materials, processing and printing resolution for printed transistors. In this article, we review dimensional scaling of printed organic thin-film transistors, which has enabled high-frequency operation. We review different device architectures that require different dimensions to be scaled with accompanying tradeoffs in performance and complexity. Various printing methods have been used to print scaled transistors. Inkjet and gravure printing have seen the greatest improvements. We will focus on gravure printing here as it not only enables high-resolution features but also high-speed printing for low-cost manufacturing. Operating voltage has been scaled down less aggressively due to difficulties with scaling down the thickness of printed gate dielectrics. The performance of organic semiconductor materials has also improved substantially. When processing the semiconductor, the scaling of other device dimensions needs to be considered to optimize performance. Based on these advances, transistor switching frequency has increased dramatically over the last decade with several reports of high-speed printed inverters operating at high kHz to low MHz frequencies, which are promising results for emerging applications of printed electronics.