That is partly true, but if you are in a country not supported by some of these larger exchanges, even having one smaller exchange that is supported in your jurisdiction is huge, even if the volume isn't huge.
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As long as the price on that small exchange is not ridiculously unfavorable... I've seen small exchanges where shitcoins are sold at 1 ETH or good coins have buy orders at 1 satoshi or 0.00000002 LTC/ETH.