A three-dimensional (3D) image display apparatus and method are provided. The 3D image display apparatus includes an image generating unit configured to generate an image, an active optical device configured to change a propagation path of light containing the generated image, and provide the generated image to multiple viewpoints that are located along a first direction parallel to the image generating unit, and a varifocal lens configured to vary a focal position of the generated image along a second direction away from the image generating unit.