Among vegetable oils, extra virgin olive oil (EVOO) has nutritional and sensory characteristics that make it unique and a basic component of the Mediterranean diet. EVOO has always been used over the centuries for its preventive and therapeutic properties, as well as precious and valuable dietary lipidic condiment. Benefic effects of a diet rich in EVOO on the human health, especially in prevention and/or reduction of hypercholesterolaemia, serum lipoprotein levels and atherosclerosis, hypertension, cardiovascular diseases and thrombotic risk, oxidation and oxidative stress, obesity and type 2 diabetes, inflammatory processes and cancer are discussed in these review. Recent studies suggest also its role in regulating the sense of satiety. The chemical compounds of EVOO that may contribute to its overall therapeutic characteristics, the epigenetic and physiological mechanisms involved are focused, taking into account the most important studies in the literature of the last years.Practical applications: Many studies on various aspects of nutrition indicated that many human diseases are influenced by lifestyle, in which the diet has an important aspect. The use of extra virgin olive oil is especially important from early childhood and throughout adult life to contribute to hinder the aging process. The importance of preventive and sometimes curative action, carried out by its various components in several pathological conditions has emerged from clinical, experimental, and epidemiological studies which, in many cases, are accompanied by indisputable scientific evidences. Taking into account the most important studies in the literature of the last years, the chemical compounds of extra virgin olive oil and the physiological mechanisms involved in their curative/health effects are the focus of this article.