I've had this same question (as well as many similar ones) asked to me countless times. This is how I explain it:
Think about a simple childish drawing of a person. This drawing gets its point across, that yes, it is in fact supposed to be a person, but it doesn't come close to telling the whole story. You don't see the intricacies of the human form, the miniscule muscle movements, the variations in skin-tone and all the other things that make a human a human.
Think of the 2D chemical line drawing as a simple child's picture of a man, and the actual molecule as a real living human. This isn't even the whole story though, because many of the properties that define the activity of a compound are not visible to the naked eye, even if you were able to enlarge the molecule to a size that would permit you to examine it unaided. If you look up the 3D structure of a compound though, you will often find that most compounds that have activity at a particular site have certain structural features in common that might not be obvious from the 2D structure. For example, perhaps one part of the structure that appears to dangle off to one side in the line drawing actually curls around and produces something that is geometrically very similar to the closed ring of another compound with similar activity. Sorry for being so vague, but I'm posting from my mobile and I can't produce diagrams to explain my point, but when I get home I will add examples.
Anyway, hopefully this explains things in a way that's a bit easier to understand for those who are not as familiar with such concepts.