Ladder pi-conjugated compounds, which have fully ring-fused polycyclic skeletons, are an important class of materials possessing significant potentials for application in organic electronics. The incorporation of main-group elements, such as B, Si, P, S, and Se, into the ladder skeletons as bridging moieties is a powerful strategy to endow unusual electronic structures as well as suitable molecular arrangements in the solid state, giving rise to attractive photophysical and electronic properties. Recent efforts have produced a number of fascinating ladder materials, some of which indeed showed high performance as light-emitting materials and charge carrier transporting materials. This Focus Review is an overview of the progress in this chemistry, focusing on several important pi-conjugated skeletons.