The chemistry for the synthesis of glycosphingolipids has been greatly adva
nced in the last two decades, and now almost any compound of any structural
complexity can be prepared. The methodology is based on the development of
efficient glycoside bond formation strategies in order to obtain the oligo
saccharide moiety, on the synthesis of useful sphingosine intermediates, an
d finally on their successful ligation in order to provide neutral as well
as acidic glycosphingolipids (i.e. gangliosides). Also enzymatic approaches
towards this goal have been investigated. Recent conformational and biolog
ical studies exhibit a rapidly growing understanding of the physical proper
ties and the importance of glycosphingolipids which is essentially based on
the great synthetic achievements discussed in this review.