Switching on both sides of isolation can be synchronized by transformer coupling, for instance (2-switch or bridge forward, most often?). It can also be done passively (no signal isolation required); see e.g. NCP4306. This one can still use signal coupling, see the application section; it wouldn't be used in DCM or QR flyback, but might be handy in CCM forward/flyback.
Most sync rect controllers have wide supply ranges, so they can be self powered -- not that it's something you necessarily want to make use of because of the extra power dissipation at high voltages, but when you aren't driving big transistors, it can definitely get you there.
There's also the even more passive option, a gate drive winding on the secondary, driving a MOSFET directly. This is more of a forward converter thing(?), and easiest for modest output voltages (3-12V?). Note that the wide voltage swing between Vgs(on)/(off) acts like reverse recovery of a PN diode, but much worse (it's not time dependent, but voltage dependent!), so it only works in certain cases (here, the output inductor allows voltage to fall to zero).
Tim