In this work, we report a room temperature wet-chemical approach to synthesize highly regulated, monodispersed ZnO nanorods and derived hierarchical nanostructures. In particular, ZnO has been prepared into single-crystalline conical or prismatic nanorods, and various hierarchical structures such as hexagonally branched, reversed umbrella-type, and cactus-like ZnO nanostructures comprising individual c-oriented nanorods. Depending on the synthetic conditions used, the diameter of nanorods can be controlled with a size down to 10-30 nm, while the aspect ratio can be controlled up to 50-100. Various preparative parameters, such as initial reactant concentrations, solvents, ligands, surfactants, precursor salts, and reaction time, have been systematically examined. Due to slow reactions at room temperature, excellent crystallinity and high morphological yield (100% in most cases) have been achieved via tuning the synthetic parameters. Our photoluminescence and UV measurements also confirm the attained crystal perfection and size uniformity.