Optically active alcohols are very useful as building blocks and intermediates for the syntheses of fragrances, agricultural chemicals and, especially, pharmaceuticals. The synthesis of chiral alcohols by enzymatic asymmetric reduction is a powerful and versatile method. Chiral Alcohols are catalyzed by enantioselective alcohol dehydrogenases, carbonyl reductases, and microorganisms containing responsible enzymes. In this review, a variety of the enzymes, their applications, and regeneration methods of coenzymes, NAD(P)H, are summarized.