The demand for artificial intelligence (AI) in healthcare is rapidly increasing. However, significant challenges arise from data scarcity and privacy concerns, particularly in medical imaging. While existing generative models have achieved success in image synthesis and image-to-image translation tasks, there remains a gap in the generation of 3D semantic medical images. To address this gap, we introduce Med-DDPM, a diffusion model specifically designed for semantic 3D medical image synthesis, effectively tackling data scarcity and privacy issues.