The total synthesis of both diastereomers of the unusual tetracyclic ring-opened oxindole alkaloid leucolusine is described. The absolute configuration of the natural leucolusine at the C3 center of the oxindole ring is established by diastereoselective synthesis. Key steps of the synthesis include the synthesis of the piperidine-tetrahydrofuran moiety and construction of leucolusine via N-alkylation of the octahydrofuro[2,3-b]pyridine ring.