As part of its continuing efforts to help the Caribbean develop solid waste program capacity, the U.S. Environmental Protection Agency (EPA) has approved the U.S. Virgin Islands’ municipal solid waste landfill permit program. This approval is a significant accomplishment for the territory and enables the expansion of existing landfills, construction of new landfills, and design and operational flexibilities such as alternative daily cover and alternative financial assurance mechanisms. These authorities are essential to ensure that solid waste can be safely and sustainably managed. Before making its final decision to approve the U.S. Virgin Islands’ program, EPA took public comments for 60 days and held three public hearings in July of 2019. Most commenters supported the approval and several requested clarifications on the roles associated with USVI’s solid waste management and implications of approval. EPA has provided responses, including the overview of the statutory role of the USVI and the federal government with respect to solid waste management and the required compliance with landfill regulations established to protect human health and the environment.