Ursodeoxycholic acid (UDCA) was synthesized from commercially available phytosterol-derived bisnoralcohol with an overall yield of 57% by a six-step process. The absolute configuration of the 3,5,7-stereogenic centers in UDCA was determined using Pd-catalyzed and hydroxysteroid dehydrogenase (HSDH)-catalyzed hydrogenation conducted under normal temperature and atmospheric pressure conditions. To investigate the stereoselectivity and regioselectivity of the catalyst and assess the final purity of the product, all potential impurities were synthesized and analyzed using HPLC with charged aerosol detection (CAD). The developed process demonstrated cost-effectiveness and suitability for large-scale production of UDCA with an ICH-grade quality. Our Pd-catalyzed and HSDH-catalyzed hydrogenation techniques could also be applied in the synthesis of alphaxalone and brexanolone.