You should not need to change money in Grand Cayman, since U.S. dollars are readily accepted, though you may get some change in Cayman dollars, which are worth 25% more than a U.S. dollar. ATMs accepting MasterCard and Visa with Cirrus affiliation are readily available in George Town; you usually have the option of U.S. or Cayman dollars. The Cayman dollar is pegged to the U.S. dollar at the rate of CI$1.25 to $1, and divided into a hundred cents, with coins of 1¢, 5¢, 10¢, and 25¢ and notes of $1, $5, $10, $25, $50, and $100. There's no $20 bill. Traveler's checks and major credit cards are widely accepted. Be sure you know which currency is being quoted when making a purchase.