Spirocarbocyclic natural products have been attracting considerable attention from synthetic organic chemists. This review focused on total syntheses of sesquiterpenoids involving spiro[4.5]decane and spiro[5.5]undecane scaffolds, compiling syntheses of colletoic acid, cubebol, axenol, vetispirene, hinesol, agarospirol, axenol, gleenol, exiguamide, exigurin, erythrodiene, spirojatamol, antroalbocin A, omphalic acid, dactylone, and aplydactonee since 2015.