Montego Bay is the capital of St. James Parish and the second largest city in Jamaica by area and the third by population (after Kingston and Spanish Town). It is a tourist destination with duty free shopping, cruise line terminal and the beaches. The city is backed by picturesque low mountains. Popular beaches include Doctor’s Cave Beach and Walter Fletcher Beach, home to an amusement park.

Today, Montego Bay is known for its large regional hospital (Cornwall Regional Hospital), port facilities, second homes for numerous upper class Jamaicans from Kingston as well as North Americans and Europeans, fine restaurants, and shopping opportunities. The coastland near Montego Bay is occupied by numerous tourist resorts, most newly built, some occupying the grounds of old sugarcane plantations with some of the original buildings and mill-works still standing. The most famous is the White Witch's Rose Hall which now features a world-class golf course.