Maldives drives on the left — and no International Driving Permit is required — your US license is enough.
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Maldives drives on the left-hand side of the road.
No — Most visitors to the Maldives never drive — inter-island transport is by boat or seaplane, and self-drive rentals are uncommon outside Malé.
In the US, an IDP is issued by AAA or the National Auto Club — it costs around $20, requires a passport photo, and can't be obtained after you've already left the country.
No — an IDP is a translation document, not a standalone license. You must carry your regular US driver's license alongside it at all times.