This study highlights the present status of medical libraries in Bangladesh. It mainly focuses on the four key areas of medical libraries: Medical Library Services, Research4Life from Bangladesh perspective, Institutional Repository (IR), and Library Automation status. The research study also explores the various key challenges faced by the medical libraries in Bangladesh and finally provides necessary recommendations like a sufficient library budget, implementation of an Integrated Library System (ILS), skilled manpower, more participation in information networking and resource sharing, sound ICT environment, online collection development for the overall development of medical libraries in Bangladesh.