The precision required for aiming is directly related to the wavelength. Iridium NEXT satellites use Ka band with a wavelength around ten millimeters where anything light related has a wavelength measured in hundreds of nanometers.

The forward/backward links are a lot easier than the inter-plane links, but it's still not trivial because you're trying to hit an object the size of a small car with a laser from over 1000 miles away. Not impossible by any means, but there's not a lot of margin for error when they're looking to be able to transfer around 100 gigabits per second over this link. Other FSO systems work at significantly lower bandwidth and/or shorter range. That's not even getting in to the inter-plane links, where the target is constantly moving even in a relative sense.