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The currency system in Belize is fabulously easy for American visitors. The Belize dollar is locked at $2 Belize = $1 US. So it's very easy to see how much something is costing in US when you go shopping. Most accommodations and tours are listed in US$ prices, and most restaurants, shops, etc. are listed in BZ$. Make sure to verify if prices are in BZE or US though, I'd say 80% of them were BZE in touristy places and 20% in US. Seems like they're trying to make it easier, but it just ends up being confusing.
Nearly everyplace I went (both inland and on Ambergris Caye) readily accepted US currency. They also all accepted traveler's checks as long as you wrote your passport number or driver's license number on the back. However, don't bring large bills (and I'm talking anything above a $20) because we couldn't get rid of our $50 bills unless we spent $45 of it it seemed.