Higher 3-deoxy-2-ulosonic acids are a family of widely distributed natural high carbon carbohydrates, of which 3-deoxy-D-arabino-hept-2-ulosonic acid(DAH), 3-deoxy-D-manno-oct-2-ulosonic acid (KDO),2), 3-Deoy-D-glycero-D-galacton-non-2-ulosonic acid (KDN) and 5-acetamido-3,5-dideoxy-D-glecero-D-glecero-D-galacto-non-2-ulosonic acid (N-acetylneuraminic acid) are the most common members. These sugars have been demonstrated to play vital roles in a series of biochemical and biological processes. The family of ulosonic acids has provided potential therapeutic leadds in developing inhibitors of corresponding enzymes. Zanamivir (5) is a transition state analogue of 2,3-didehydro-2-deoxy-N_acetylneuraminic acid (Neu5Ac2en), which exhibits high inhibitory activity to influenza neuraminidase (NA) and has been appoved for the treatment of influenza. Therefore, the syntheses of these ulosonic acids themselves and their analogs have attacted considerable intereest inrecent years, and become a current research topic. Herewith the recent progresses in the synthesi of these ulosonic acids and their derivatives are reviewed.