Multifunctional organic molecules can be achieved by reacting functionalized organolithium compounds [1] with electrophilic reagents, this fact makes these intermediates of relevant interest in synthetic organic chemistry [2]. Another remarkable fact concerning organolithium compounds, compared with other organometallic compounds is that they can be prepared following a great number of different methodologies [3]: hydrogen±lithium exchange (deprotonation), halogen±lithium exchange, transmetallation reactions, carbon±heteroatom bond cleavage and carbolithiation of multiple carbon±carbon bonds. However, the highly ionic character of the carbon±lithium bond [4] makes these compounds extremely reactive and also unstable, so the synthetic processes should be carried out in some cases under very mild reaction conditions.Regarding the stability of functionalized organolithium compounds, it depends mainly on three factors, the most important one being the compatibility of the functional group with the carbon±lithium bond, so in some cases the functionality should be protected. The hybridization of the carbon atom bonded to the lithium atom is also important, so sp derivatives are more stable than the corresponding sp 2 and these are more stable than the sp 3 ones as it happens to the corresponding carbanions. Finally, the relative position of the functionality and the carbanionic center is also relevant, probably the b-functionalized derivatives being the most unstable species due to the existence of two consecutive carbon atoms with opposite polarities, the b-elimination process to give an olefin is extremely favored. Stabilized organolithium compounds, such as lithium enolate intermediates [5], a-organolithium compounds bearing electron-withdrawing groups (RSO, RSO 2 , CN, NO 2 , etc.) and heteroatoms such as sulfur [6], selenium and phosphorus as well as functionalized aryllithium compounds will not be consider in depth in this chapter due to the limited length of this review.The following study is ordered based on the relative position of the functionality and the carbanionic center, as well as on the hybridization of that center.