Country Guide Mixed / Reform

Cannabis in the Cayman Islands: Laws & Tourist Guide flag Cannabis in the Cayman Islands: Laws & Tourist Guide

Is weed legal in the Cayman Islands? Medical cannabis, 2025 decriminalization referendum, and what tourists need to know.

Last verified: April 13, 2026 · Misuse of Drugs Law (amended 2016)

Legal Status Mixed / Reform
Possession Limit Medical cannabis oil by prescription; decrim referendum passed but not yet implemented
Medical Program Yes — cannabis capsules, oil, and vaporized forms since 2017
Tourist Access Very restricted — medical prescription only; decriminalization not yet in effect
Penalties Recreational possession still illegal; importing/exporting prohibited

Current Cannabis Laws

The Cayman Islands occupy an unusual position. Medical cannabis (oil, capsules, vaporized forms) has been available by prescription since 2017, after the governor approved changes to the Misuse of Drugs Law in 2016.

In the 2025 general election, voters approved a decriminalization referendum — 55% voted in favor of decriminalizing consumption and possession of small amounts. The measure was sent to the Law Reform Commission for implementation, but as of early 2026 the decriminalization has not yet taken effect.

Recreational cannabis possession remains illegal until the referendum results are formally enacted.

For Tourists

Right now, the Cayman Islands are not a cannabis-friendly destination for tourists. Medical cannabis is prescription-only and tightly controlled. Recreational use is still illegal. Importing or exporting any cannabis product — even for medical use — is prohibited.

The referendum result is promising, but until the Law Reform Commission drafts implementation legislation, the old rules apply. Watch this space.

Recent News & Changes

  • 2016: Governor approves medical cannabis oil amendment
  • 2017: Medical cannabis (capsules, oil, vaporized) becomes available by prescription
  • 2025: Decriminalization referendum passes with 55% approval
  • Ongoing: Law Reform Commission drafting implementation legislation