After nearly 40 years, some of the key leaders of the former Khmer Rouge genocidal regime are facing trial at the Extraordinary Chambers in the Courts of Cambodia (ECCC). This paper explores the challenges and opportunities facing the ECCC in its pursuit of justice and accountability for the atrocities committed by the Khmer Rouge against the Cambodian people. It concludes that, despite the political controversies and resource constraints affecting the court in fulfilling its mandate to end impunity, victims and survivors of the Pol Pot era may still benefit psychologically from the long-overdue official acknowledgement of their suffering and the opportunity for younger generations to learn the truth of what happened. Some justice could indeed be better than none in the quest for healing and reconciliation at the individual and community level. This process may be undermined, however, if the prevailing culture of “small impunities” and the need for political and socioeconomic justice, along with psychosocial support, are not addressed.