This study examines and presents a discussion on school psychology services available to students with special needs in Hong Kong primary and secondary schools. An in-depth case study was conducted to describe the professional development experiences of a Hong Kong school psychologist named Cindy (pseudo name). Using the case-study method with verification via various sources, we investigated Cindy's professional training and the services she provides in school. This article presents challenges facing Cindy and their implications for her personal adjustment in the school team. This article concludes with certain reflections regarding school psychologists' roles in the 21th century and presents suggestions for professional development.