In this minireview, we have highlighted various developments related to the total synthesis of an anticancer agent, fredericamycin A (NSC-305263). The presence of a unique molecular architecture and significant biological properties associated with fredericamycin A have greatly enhanced the research activity, and we cover the total synthesis of this molecule since its isolation. Different methodologies adopted for the construction of the stereo-genic spiro centre are radical spirocyclization, Diels À Alder (DA) reaction, [3 + 2] annulation, photochemical approach, ring-closing metathesis (RCM), palladium-catalyzed crosscoupling reaction, rearrangement approach, benzannulation etc. This minireview provides an overview of the contribution of different research groups in the total synthesis of fredericamycin A. We also cover various model studies related to the synthesis of this molecule.