In January 2023, the International Laser Ranging Service (ILRS) approved the tracking of 20 additional BeiDou-3 Medium Earth Orbit (BDS-3 MEO) satellites, integrating them into the ILRS tracking network. Before that, only 4 BDS-3 MEO satellites had been tracked. BDS satellites employ highly advanced GNSS components and technological solutions; however, microwave-based orbits still contain systematic errors. Satellite Laser Ranging (SLR) tracking is thus crucial for better identification and understanding of orbit modeling issues. Orbit improvements are necessary to consider BDS in future realizations of terrestrial reference frames, supporting the determination of global geodetic parameters and utilizing them for the co-location of GNSS and SLR in space. In this study, we summarize the first 6 months of SLR tracking 24 BDS-3 MEO satellites. The study indicates that the ILRS network effectively executed the request to track the entire BDS-3 MEO constellation. The number of observations is approximately 1300 and 450 for high- and low-priority BDS-3 satellites, respectively, over the 6 months. More than half of the SLR observations to BDS-3 MEO satellites were provided by 5 out of the 24 laser stations, which actively measured GNSS targets. For 14 out of 24 BDS-3 MEO satellites, the standard deviation of SLR residuals is at the level of 19–20 mm, which is comparable with the quality of the state-of-the-art Galileo orbit solutions. However, the SLR validation of the individual satellites revealed that the BDS-3 MEO constellation consists of more ambiguous groups of satellites than originally reported in the official metadata files distributed by the BDS operators. For 8 BDS-3 satellites, the quality of the orbits is noticeably inferior with a standard deviation of SLR residuals above 100 mm. Therefore, improving orbit modeling for BDS-3 MEO satellites remains an urgent challenge for the GNSS community.