George Town, Grand Cayman is very Americanized which surprised me. I felt very comfortable walking around town. We did not book an excursion through the cruise line but took a taxi to Cemetery Beach for $6.00. The sand was very soft and the water was as clear as the swimming pools we have here in the States. There is a lot of reef if you like to snorkel but also great swimming areas.
The tenders were were in good shape and the driver seemed very responsible. I am not able to say that about past ports of call that require tendering.