In order to manufacture the Mg-Zn-Gd alloy fine wires for the development of new biomedical Mg alloy implant devices, a hot extrusion and cold drawing process which is used to develop the Mg-Zn-Gd alloy fine wires were investigated. The results demonstrate that the Mg-Zn-Gd alloy has good formability. The microstructure and properties of the Mg-Zn-Gd alloy wires were studied by the observations of optical microscopy and scanning electron microscopy. The results show that the process is successfully developed to manufacture the high-quality wires with 3.00 mm diameter. The achievement of the high-quality Mg-Zn-Gd alloy wires is ascribed to the refined microstructure due to dynamic recrystallization during hot extrusion. Additionally, the grain morphology can play an important role in affecting the subsequent cold drawing performance.