Over the past two decades, organocatalytic aldol reaction emerged as a powerful method for the enantioselective carbon-carbon bond formation, often offering more efficient, economical and environmentally friendly synthesis of chiral molecules. On the other hand, reductive amination is one of the most important reactions in synthesis of biologically active compounds and drug candidates. Coupling these two reactions results in a powerful combination that allows for a rapid, stereoselective access to substituted, highly functionalized fiveand six-membered N-heterocycles. This minireview illustrates the applicability of this approach as the key feature in syntheses of various iminosugars -a class of polyhydroxylated alkaloids with a range of interesting biological activities and high pharmacological potential.