The airstrip in San Pedro is already busting at the seams. The most dangerous part of skydiving there is walking out of the SunBreeze Hotel and trying to get across the street to the plane! Adding private or Intl. flights just makes the already busy area really congested.
To fly a plane there that is not Belizean registered you have to fill out some paperwork, pay some fees and file your info with Civil Aviation. There is a company in Goldson Intl. called Aero Dispatch to help pilots with all of that. And Customs checks out your aircraft and Immigration clears you after checking your passport/visa status.
There are only a few carriers in Belize with a Belizean operating certificate to fly passengers. Tropic Air, Maya Island Air, Caribean Cargo, Javier's Flying Service and Astrum Helicopters.
Now to add arrivals with any sort of aircraft directly to SP will need some infrastructure. But the real problem is lack of space. I fly a Twin Otter there every February for the skydive event. We fly 8-10 loads per day for 10 days. It is getting harder to find a place to park our plane each year. And sometimes we sit with the props turning waiting for 10 minutes to get a slot for takeoff.
So now add our plane, a BDF Air Wing flight now and then, the regular carriers, a couple of private planes that are on the airstrip and things get really busy in February.
Why won't Intl. arrivals on SP work?
There is no taxi way to stage on, there is no fuel, there is little aircraft parking, it's really busy now, there is no Civil Aviation, ATC, Customs or Immigration on the airstrip and finally the big one...
If the powers that be want it, it may happen, but I doubt it.
Well, we have beaten this dog to death, let's move on to getting better medical care on the island first!