A few level-set topology optimization (LSTO) methods have been proposed to address complex fluid-structure interaction. Most of them did not explore benchmark fluid pressure loading problems and some of their solutions are inconsistent with those obtained via density-based and binary topology optimization methods. This paper presents a LSTO strategy for design-dependent pressure. It employs a fluid field governed by Laplace’s equation to compute hydrostatic fluid pressure fields that are loading linear elastic structures. Compliance minimization of these structures is carried out considering the design-dependency of the pressure load with moving boundaries. The Ersatz material approach with fixed grid is applied together with work equivalent load integration. Shape sensitivities are used. Numerical results show smooth convergence and good agreement with the solutions obtained by other topology optimization methods.