You can exchange cash at any official currency exchange office or at a local bank. Alternatively, taking cash out of an ATM is a quick and easy way to get euros. There are many official exchange offices in any major city in Italy.
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The easiest and cheapest way is to use an ATM at the airport in Rome to get some Euros, although there is usually no need to get Euros before you leave. You can buy Euros in the US but you will pay a premium.
Resist the urge to buy foreign currency before your trip.Some tourists feel like they just have to have euros or British pounds in their pockets when they step off the airplane, but they pay the price in bad stateside exchange rates. Wait until you arrive to withdraw money.
You hardly need any cash at all. You can use your credit or debit card wherever there is a PoS (point of sale) machine. Your card needs to be on the Mastercard or VISA international network to function.
In Italy, cash is still preferred in most restaurants, cafes and other establishments, although credit and debit cards are becoming more widely used throughout Italy and are an increasingly convenient way to pay for things. Visa and Mastercard are widely accepted, although American Express is not.
Don't bring any more cash with you than you'd normally carry with you in your own country on a daily basis. Bear in mind the increased pickpocketing risk for a tourist in Rome. When you get to the airport, get one or two hundred euros out of one of the ATMs in the baggage hall just in case (they don't charge fees).
This is so entirely dependent on your own travel preferences that it's tough to estimate but we recommend putting aside roughly €700 to €1700 for spending money for one week in Europe.
If you ask locals “Do you tip in Italy?”, they'll explain that while they sometimes leave a small tip, it's generally not necessary. In Italy, gratuity (or una mancia, pronounced oo-nah MAN-chah) is considered a bonus for exceptional service. And it's not often that you'll find a tip jar at a register.