The development of catalytic metal carbene transformations for the construction of macrocyclic lactones has dramatically increased their synthetic advantages. All facets of metal carbene transformations -cyclopropanation, cyclopropenation, aromatic cycloaddition, ylide formation and rearrangement, coupling, and insertion -have been demonstrated to occur intramolecularly to form ring sizes of ten or more. These processes vastly increase the versatility of macrocyclization for molecular constructions, and they do not require high dilution techniques for their implementation.