This review describes recent advances in the synthesis of homopolymers of lactide and related cyclic esters via ring-opening polymerization (ROP) in the presence of metal complexes based on group 1, 2, 4, 12, 13 and 14 metals. Particular attention is paid to the influence of the initiator structure on the properties of the obtaining homo- and copolymers. Also, a separate chapter is devoted to the study of metal complexes in the synthesis of copolymers of lactide and lactones. This review highlights the efforts made over the last ten years or so, and shows how main-group metals have received increasing attention in the field of the polymerization of lactide and related cyclic esters.