According to the classification of Jacob's Ladder proposed by Perdew, density functional approximations (DFAs) on the top (fifth) rung add the information of the unoccupied Kohn-Sham orbitals, which hold the promise to enter the heaven of chemical accuracy. In other words, we expect that a much higher accuracy with a broader applicability than the existing DFAs would eventually be achieved on the fifth rung. Nonetheless, Jacob's Ladder itself does not offer a recipe for how to manipulate the unoccupied Kohn-Sham orbitals on the construction of a successful fifth rung DFA. In this article, we briefly review two successful types of the fifth rung DFAs, that is, random-phase approximation (RPA) and doubly hybrid approximation (DHA). The limitations of RPA and DHA will be introduced in the context of the so-called self-interaction error (SIE)/nondynamic correlation error (NCE) dilemma in the world of density functional theory. We propose the development strategy for DHAs to address the general concern about the future of advanced DFAs on the fifth rung. We share our experience here, based on the relevant efforts recently made by the authors and their co-workers, aiming to resolve the SIE/NCE dilemma and to extend the applicability of DHAs from the chemistry of the main group elements to that of the transition metals.