Sanding in medium-density fiberboard (MDF) often encounters unstable quality and premature failure, primarily because there is currently no abrasive belt specifically suitable for MDF sanding characteristics. We designed two precision-shaped abrasive belts (PSAs) for MDF and herein report on the characteristics. The material removal process for PSA was divided into three phases; the most stable, phase II, represents the effective working period. Compared to the contrast accumulated abrasive belt, PSAs achieve 16.12 and 11.10 times higher surface quality based on the mean value of roughness parameter Sa, achieving 1.34- and 2.0-, and 15.61- and 8.54-times-higher stability in material removal and surface quality based on the mean deviation. Wear patterns on PSAs include large abrasive wear, micro-abrasive fall-off, fracture, and wear, avoiding premature failure due to blockage and promoting long-term and efficient sanding. The uniform shape, height, and distribution of particles in PSAs results in excellent sanding performance. This study provides the foundation for further research on sanding mechanisms and PSA design for MDF.