The introduction of the Bilik reaction, the molybdic acid catalyzed interconversion of epimeric aldoses, is an important milestone in carbohydrate chemistry. The essentials of this unique, stereospecific carbon-skeleton rearrangement of epialdoses are presented. Emphasis is laid on the latest developments in the area, namely the mutual interconversion of 2-ketoses and 2-C-(hydroxymethyl)aldoses, a reaction that is exploited for the preparation of some important representatives of these reducing sugars. Mechanistic studies with isotopically substituted D-fructoses are also described.