In the field of organic synthetic pharmaceuticals, methods for the discovery, creation, and synthesis of universal molecules with pharmacological activity are rapidly advancing worldwide. Optimal synthesis methods enable the production of analytically pure biologically active compounds with the highest possible yields and minimal waste, which helps conserve resources, time, and money. The diversity of biologically active drug groups increases the ability to meet the medical needs of the population. The search for optimal synthesis methods drives the development of new technologies and techniques, which, in turn, contributes to scientific discoveries in the fields of Medicine and Chemistry. The purpose of this review is to examine the literature on methods for obtaining biologically active derivatives of N-benzylpiperidin-4-one published in scientific journals. Research Object: Derivatives of N-benzylpiperidin-4-one. Research results: The study of the reactivity of Nbenzylpiperidin-4-one derivatives confirms their versatility in various chemical reactions, highlighting their utility as chemical compounds. The results compiled in scientific literature demonstrate the potential of N-benzylpiperidin-4-one derivatives in the development of new drugs with various pharmacological properties. Conclusion: The properties of the N-benzylpiperidin-4-one molecule as a universal chemical building block indicate its wide application in medicine and pharmacology, enhancing its significance in further scientific research and the synthesis of new compounds.