Car rental rates are hefty and car insurance is high. A cautionary note - Jamaica has one of the highest accident rates in the Caribbean and the highest amount of fatalities. Ask about the deduction amounts for which you are liable, even with your own insurance company. You will also be required to leave an imprinted copy of your credit card until you return the car. Driving Is on the left side of the road.
Main roads are in good condition, but can be curvy with little or no shoulder.
Secondary roads are in poor condition and confusing. Slow down in the towns due to large amounts of pedestrian traffic. Watch for cars passing each, especially when around extremely slow trucks. The Jamaica Tourist Board distributes the Discover Jamaica road map that is the best on the island. It is free and is available at the Tourist Board branch offices and at most rental car counters.