This account outlines our recent studies on the photoredox reaction of naphthoquinones. The mechanism consists of three consecutive events triggered by photo-irradiation, (1) hydrogen abstraction by the excited quinone to generate a biradical species, (2) internal single electron transfer (SET) to convert the biradical to the corresponding zwitterion, and (3) oxy-cyclization to give the product. The overall process allows replacement of a C–H bond by a C–O bond in a stereospecific, retentive manner. This photo-induced reaction has a broad scope, enabling otherwise-difficult stereocontrolled synthesis of natural products, as demonstrated by the syntheses of two classes of antibiotics, the spiroxins and the preussomerins. The former targets feature stereogenic spirocyclic ether structures, which were effectively constructed by a photoredox reaction involving 1,5-HAT, while the latter targets featuring stereogenic acetal structures were constructed by a photoredox reaction involving 1,6-HAT. Also described is the synthetic study of the rubromycins, centering attention to the stereospecific construction of the spiroacetal center.