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You can get along fine without a car in Campania, and there are plenty of reasons not to have one. Much of Naples is pedestrianized, meaning motorized arteries are often bottlenecked; you can't bring a car to Capri (except in winter, when everything's closed); and parking in the towns of the Amalfi Coast is hard to come by and expensive.
Italy's main north-south route, the A1 (also known as the Autostrada del Sole), connects Rome with Naples and Campania. In good traffic the drive to Naples takes a little more than two hours. Autostrada A3, a somewhat perilous continuation of the A1, runs south from Naples through Campania and into Calabria. Herculaneum (Ercolano) and Pompeii (Pompei) both have marked exits off the A3. For Vesuvius, take the Ercolano exit. For the Sorrento Peninsula and the Amalfi Coast, exit at Castellammare di Stabia. To get to Paestum, take the A3 to the Battipaglia exit and follow the road to Capaccio Scalo-Paestum. Roads on the Sorrento Peninsula and Amalfi Coast are narrow and twisting, but they have outstanding views.
If you come to Naples by car, find a garage, agree on the cost, and leave it there for the duration of your stay. (If you park on the street, you run the risk of theft.)
Garage Cava (Via Mergellina 6, Naples, 80122. 081/660023. 24 hrs.)
Grilli (Hotel Ramada, Via Ferraris 40, near Stazione Centrale, Naples, 80142. 081/264344. 6 am–midnight.)
Turistico (Via de Gasperi 14, near port, Naples, 80133. 081/5525442. 6:30 am–midnight.)
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