The island is less than a mile (around one kilometer) wide from east to west and less than 200 yards (183 meters) from north to south. It has a population of 38.(2010 census)
The east end is the center of recreational activities with beaches fronting a coral basin where manatee, rays, and numerous fish can be seen. There is a rocky inlet on the north side of the island large enough for the cruise ship tenders to operate from. Nature trails run the entire length and width of the island.
Little Stirrup Cay is adjacent to Great Stirrup Cay, Norwegian Cruise Line's private island.
Royal Caribbean Cruises Ltd., which owns Royal Caribbean International, Celebrity Cruises and Azamara Cruises, assumed the lease of the island upon acquisition of Admiral Cruises and renamed it Coco Cay, one of the first cruise lines to lease islands for their exclusive use.
Royal Caribbean and Celebrity cruise ships frequently anchor off the island and bring passengers ashore by tenders. Activities available to guests include swimming, snorkeling, kayaking, parasailing, scuba diving, and WaveRunner piloting. Royal Caribbean extends its children's programs onto the island including a Fisher-Price-sponsored Power Wheels track for young children.