It has been shown that all selectins recognize the carbohydrate epitopes sialyl Lewis x and sialyl Lewis a . For the establishment of the structure-activity relationship, the efficient synthesis of these tetrasaccharides and derivatives is therefore of vital interest. The glycosyl transferase-mediated approach is summarized with emphasis on the use of modified acceptors and modified sugar-nucleotide donors. A survey of the involved enzymes: b(1-3) and b(1-4)galactosyl transferases, a(2-3)sialyl transferase, FucT III and FucT VI reveals that the enzymatic synthesis is highly efficient for the rapid preparation of sialyl Lewis x -and sialyl Lewis a -derivatives.