Semiconductor solid-state lasers based on conduction-valence band recombination are now commonplace for low-power red emission, and are available commercially at nearly continuous wavelengths throughout the near-UV and near-IR communications bands. Furthermore, new lasers and broadband spontaneous emission sources are available through a wide wavelength range, including 3-8μm based on both conduction-valence band and intersubband transitions, and up to 70μm using cascaded intersubband transitions. Competing processes make the design of these semiconductor lasers extremely difficult when extended to the very long, 300μm wavelength regime corresponding to low terahertz frequencies. We discuss material and device-design considerations for extending semiconductor lasers to this regime. We suggest a new set of device structures based on a semiconductor quantum dot (QD) gain medium, where the lasing occurs through discrete conduction states. In one implementation, two QDs are coupled to make a coupled-asymmetric quantum dot (CAD) laser. In another implementation, an ensemble of non-coupled QDs is selectively placed in a high quality cavity, called a microdisk, which is resonant with an intersublevel QD transition. We demonstrate the initial fabrication of these structures.