The restaurant is upstairs in a building off of the main street in town, with a balcony overlooking the street. Not much of a view, but it is nice to get above street level. Some reviewers have reported poor service but in my two visits (dinner) I did not notice this. Service may not be as attentive as in North America but I was always greeted promptly, served quickly and brought the bill when asked.
The food was good, particularly the gnocchi and the spinach ravioli. Pasta was tender with good sauces. Most dishes are served with a small salad and bread. I tried to stick with the pastas made in house and was generally pleased. As others have reported, the restaurant unexpectedly run out of things, which can be an issue if you have a specific dish in mind.
The prices are probably on the higher end for Utila and my meals generally came out to L 250 - 350 ($12 - $18) including a pasta and couple of beers.
While I did not attempt to pay with a credit card, I did notice some locations advertise they take cards, have taken them in the past, etc but most restaurants on the island don't accept cards. Always plan to pay with cash. This is not exclusive to La Piccola, just a general observation.
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