The first and asymmetric total synthesis of bufogargarizins A and B, two unusual and highly oxygenated twin steroids with rearranged A/B rings, was achieved. The synthetically challenging [7−5−6−5] tetracyclic ring system of bufogargarizin A was efficiently constructed by the first intramolecular Ru-catalyzed [5 + 2] cycloaddition reaction of a vinyl ether cyclopropane-yne. Notably, the interesting [5−7−6−5] tetracyclic skeleton of bufogargarizin B was diastereoselectively reassembled by unique retroaldol/transannular aldol cascade reactions from the [7−5−6−5] tetracyclic framework.