Organolithium chemistry has been widely utilized in organic synthesis as a reliable tool for introducing various functional groups. The intrinsic high reactivity of organolithiums allows rapid chemical transformation; however, the transient organolithiums bearing an electrophilic moiety often cause the undesired reactions such as self-dimerization, isomerization, and decomposition, which prevent further synthetic application. In this minireview, we classify the reactions involving the short-lived organolithiums and focus on the recent progress in flow chemistry, which allows to trap the highly reactive organolithium species. In addition, this review includes other approaches using the related organometallic species that can be performed in a conventional batch reactor. To place the recent development of this field in perspective, the established strategies controlling the reactivities of the short-lived organolithiums provide a shortstep, efficient, and protective group-free synthesis of functionalized organic molecules in medicinal, agrochemical, and material chemistry.