The 3 μm wavelength band laser is located on the strong absorption peak of water and the atmospheric transmission window. The 3 μm laser with high single pulse energy is used in medical treatment for cutting soft tissues and bones during surgery. It is used as a pump source for optical parametric oscillators, and Fe lasers can realize 3~5 μm or 8~14 μm laser output, which has an irreplaceable role in certain areas (e.g., optoelectronic countermeasures, LIDAR, atmospheric monitoring, etc.). Commercial semiconductor-pumped Er lasers are capable of achieving 3 μm laser output of 600 mJ with the maturation of a 970 nm semiconductor laser. The conversion efficiency is significantly improved. However, the energy is lower than a flash-lamp-pumped Er laser. There are still serious crystal thermal effects and an inefficient conversion process. In this paper, the energy-level systems of 3 μm Er-doped lasers are discussed. A summary of the current state of research on Er lasers using different matrices and the commercialization of Er-doped lasers with wavelengths ranging from 2.7 μm to 3 μm is also provided. Several technical means are given to enhance laser performance. Furthermore, the development of Er-doped solid-state lasers with wavelengths between 2.7 and 3 μm is envisaged in the near future.