General methodology for the preparation of allyltin derivatives is reported, with special attention paid to sugar allyltins. Typical procedures affording such organometallics involve the conversion of partially protected hexoses or pentoses (Sug–CH2OH) into homologated allylic alcohols (Sug–CH=CH–CH2OH), which are further transformed into the primary or secondary sugar allyltin derivatives of the general formula Sug–CH=CH–CH2SnR3, (E)/(Z) ratio ≈ 5:1, or Sug–CH*(SnR3)–CH=CH2 (single isomer with the (S)‐configuration at the newly created chiral center*). Controlled Lewis acid‐induced fragmentation of these hexose‐derived organometallics provides highly oxygenated dienoaldehydes with the (E) geometry across the internal double bond: CH2=CH–CH=CH–[CH(OR)]3–CHO. The (Z)‐dienoaldehydes are also available by thermal fragmentation of the secondary sugar allyltins. Both these synthons ((E) and (Z)) can be further converted into highly functionalized derivatives of bicyclo[4.3.0]nonene and bicyclo[4.4.0]decene. Stereochemical aspects of reactions between sugar allyltins and sugar aldehydes (in the presence of Lewis acids or under high pressure) are also discussed. (© Wiley‐VCH Verlag GmbH & Co. KGaA, 69451 Weinheim, Germany, 2005)