The first enantioselective total synthesis of the complex-tricarbocydic sesquiterpenoid periconianone A based on a postulated biogenesis is reported. Key elements of the synthetic route include the use of an isopropenyl group as a removable directing group for stereoselective synthesis, a sequence featuring a Rh-mediated O-H insertion/[3,3]-sigmatropic rearrangement and subsequent alpha-ketol rearrangement, and a late stage aldol reaction to furnish the complex cage-like framework.