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(-)-Veragranines A and B are two steroidal alkaloids that exhibit potent analgesic activity. Herein, we report a 5-step biomimetic synthesis of 5α,6-dihydroveragranine A form hecogenin acetate, which incorporates two well-designed cascade processes that significantly improve the synthetic efficiency. Based on synthesis, an alternative biosynthetic proposal of veragranines was proposed. Subsequently, we developed the first divergent approach enabling the synthesis of veragranines A and B in 10~12 steps from deoxycholic acid. The synthesis features a photoredox-catalyzed decarboxylative Minisci reaction that achieved good regioselective control and C20 stereochemistry inversion via a radical process. Besides, the strategic use of an A/B cis-fused starting material enabled late-stage introduction of the Δ5(6) double bond, simplifying its installation and providing a valuable strategy for the synthesis of related natural products. Notably, we evaluated a series of synthetic intermediates and derivatives of veragranines to assess their in vitro analgesic activity. We find that compound 16, which is easily accessible and features a saturated pyridine as the F-ring, emerges as a promising lead