I'm not sure I understand what you are asking. In real chemical systems, trimolecular elementary steps are very rare, but the products usually undergo a much faster reaction immediately after it is produced, and thus backward reaction is negligible. In this sense, the trimolecular step has a rate that is significant, and the kinetics of the entire system usually rest on this step.
Whilst orientation is important, this depends on a lot of things, including the type of solvents, the shape of the reactants themselves, etc. You will often find that orientation doesn't affect things that much, as room temperature is a fair amount of thermal energy and each molecule rotates/vibrates wildly. There are a lot of question marks still, such as is there a catalyst (an enzyme can speed up such a reaction to a ridiculous rate), or are the molecules small, or are they large macro-biomolecules that can only react at certain sites?
Also, if the original system is at equilibrium, then the forward rate is not negligible. Forward rate = backward rate at equilibrium always, this means if the forward rate is tiny, the backward rate is equally as tiny.