This chapter highlights recent progress in the synthetic approaches to organotellurium chemistry and syntheses of novel compounds since 1987. Each section deals with a class of organotellurium compounds having tellurium in the particular functional group such as ditellurides, tellurides, tellurols, tellurones, tellurenyl halides and related derivatives, telluronium salts, telluroxanes, etc. Each section has been further subdivided according to the reaction types used for the preparation of the compounds. The chapter is based on over 150 original references.