Hello Ryan,

We drive on the left side of the road. Standard American cars with left side steering.

The roads are safe; their windy, hilly, lots of curves but safe... there are street lights, street signs, speed limits. Roads are paved... same rules as US for markings painted on the road.

--Islander

mixed answers?? that explains the several times i met someone in my (left) lane coming around a curve! the rule seems to be very similar to driving the amalfi coast road in southern italy: whoever gets to the lane first has the right of way!
actually, if you enjoy driving, you will enjoy driving the twists and turns of STT, expecially if you have a small, spunky car. but if you are a hesitant driver, you may find it to be a bit daunting. there are no shoulders (so don't have a flat) and some of the potholes are grand canyonesque in proportion. and forget whatever you have heard about camels not passing through the eye of a needle.
i thoroughly enjoy driving STT, but i can't say how many times i have read the 35 mph speed limit signs thinking if only i could go that fast on this road! in particular, avoid the waterfront drive when the cruise ships are in.
enjoy.