St. Lucia drives on the left — and an International Driving Permit (IDP) is recommended.
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St. Lucia drives on the left-hand side of the road.
Not strictly, but it's recommended. St. Lucia requires visitors to obtain a local visitor's driving permit (available through rental agencies or the police), rather than relying on an IDP.
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.