The change in state of Caribbean coral reefs over the last 40 years has been characterized by phase shifts from scleractinian coral cover to macroalgal cover, the loss of structural complexity and a decline in biodiversity. Not only do scientists want to understand these changes, but also predict the future of coral reefs and their capacity for resilience. In particular, the loss of herbivory, due to declines in parrotfish and the sea urchin Diadema antillarum, has been implicated in many studies as a proximate cause of the coral to macroalgal phase shift. However, reports of the particular role of these putative herbivores have varied, with some studies claiming a causal role for parrotfish, others for Diadema and still others suggesting no such relationships. Often these studies just examined one response measure of coral reef biodiversity. In this paper, I report the relationship between parrotfish and Diadema to many metrics of reef organization surveyed simultaneously in the same transects in reefs outside and within the Marine Protected Area (MPA) of Grand Cayman, an island that has been affected by increasing tourism over the last 30 years. The magnitudes of the various measures of reef diversity reported here are consistent with those reported elsewhere. The relationships among those measures are consistent with those reported in some prior studies and inconsistent with others, reflecting the variation in responses documented in prior studies. The presence of sea urchins was associated with survey sites having higher levels of coral cover, lower levels of macroalgae cover, and lower densities of parrotfish than survey sites without sea urchins. Moreover, parrotfish abundance was associated with a decrease in coral cover and little relationship to macroalgae cover. Neither coral cover nor macroalgae cover was different in sites within the MPA compared to sites outside the MPA. I argue that the combination of site-specific local stressors and their interaction with global stressors makes it unlikely that any one island or even regional reef system could serve as an exemplar for Caribbean-wide reef degradation. Moreover, it is difficult to assess the potential for reef resilience in the face of the ongoing assaults from increasing tourism pressures and global climate change.