This chapter explores crime victims’ experiences in U.S. trial courts in relation to the passage, application, and adjudication of state and federal victims’ rights legislation (VRL). It reviews victims’ current rights established through legislation and case law: to privacy, information, and notification; to be present; and to be heard in pre-trial hearings, in trials, in plea bargaining, and in victim impact statements. It reviews qualitative research documenting how and why prosecutorial discretion is often exercised to limit victims’ participation in trials and pleas, highlighting incentives for emotion management. It also reviews proposals, which are counter to this standard, designed to achieve greater victim participation and to produce higher quality testimony, including extensive pre-court preparation and courtroom intermediaries. It assesses the efficacy of practices to protect victims from secondary victimization in court, including shielding (close circuit video and screens) and support dogs. It explores use of private attorneys to (1) ensure that prosecutors and judges comply with VRL and (2) pursue victim-directed, private prosecution of sexual assault in the United States and elsewhere. It concludes that the promise of VRL—to provide therapeutic justice outcomes, achieve victim satisfaction, and enact procedural justice—is yet to be realized in the United States; however, an evidence-based approach toward prosecutorial practice would be advantageous for victims.