IR guidance has been widely used in near range dogfight air-to-air missiles while radar guidance is dominant in medium and long range air-to-air missiles. With the development of stealth airplanes and advanced electronic countermeasures, radar missiles have met with great challenges. In this article, the advantages and potential problems of applying IR guidance in medium range air-to-air missiles are analyzed. Approaches are put forward to solve the key technologies including depressing aerodynamic heating, increasing missiles’ sensitivity and acquiring target after launch. IR medium range air-to-air missiles are predicted to play important role in modern battle field.