3a,6p,17,20a-Tetrahydroxy-5P-pregnan-l1 -one 6 -hemisuccinate (4) has been synthesised by t w o distinct routes. In the first of these, introduction of a 6p-hydroxy substituent into 17a-hydroxypregn-4-ene-3,11,20-trione followed by catalytic hydrogenation of the A4-olefinic bond gave 6P,17a-dihydroxy-SPpregnane-3,11r20-trione. The 5P-configuration was confirmed by an X-ray crystallographic analysis of the derived 6-hemisuccinate. Subsequent selective reduction at C-3 and C-20 by sodium borohydride in the presence of cerous chloride gave the required compound (4), although in l o w overall yield. To avoid the problem of non-specificity in the reduction at C-20, alternative routes were explored from precursors already possessing the essential 1 7,20a-diol system, protected as the isopropylidene derivative or by acetylation as appropriate. Hydroboration-oxidation of 3,3-ethylenedioxy-l7,20a-isopropylidenedioxypregn-5-en-1 1 -one gave the 6p-hydroxy derivative of 5p-configuration, verified by dehydration (POCI,-pyridine) to the 6-ene derivative. Further routine transformations including succinoylation of the 6j3-hydroxy derivative, deprotection at C-3 and in the side chain, and red-uctionof the 3-0x0 group, gave the required compound (4).