The document summarizes the Baylis-Hillman reaction, which is a carbon-carbon bond forming reaction between an activated alkene and an aldehyde or carbon electrophile catalyzed by a nucleophilic catalyst. The reaction produces densely functionalized products. Key advantages of the reaction include its atom economy, ability to generate chiral centers for asymmetric synthesis, and potential for further functionalization of products. Examples are given of the reaction being used in the synthesis of drugs such as pregabalin and sampatrilat. Mechanisms and strategies to improve the reaction are also discussed.