The International Union for Conservation of Nature (IUCN) has assessed the Caribbean reef shark as Near Threatened; its population has declined off Belize and Cuba from overfishing and exploitation continues in other regions. They are also threatened by the degradation and destruction of their coral reef habitat. Commercial fishing for this species is prohibited in United States waters. They are protected in the Bahamas due to their significance to ecotourism, as well as in a number of Marine Protected Areas (MPAs) off Brazil and elsewhere. However, enforcement against illegal fishing is lacking in some of these reserves, and many areas in which this species is abundant are not protected.
Measuring up to 3 m (9.8 ft) long, the Caribbean reef shark is one of the largest apex predators in the reef ecosystem, feeding on a variety of fishes and cephalopods. They have been documented resting motionless on the sea bottom or inside caves, unusual behavior for an active-swimming shark. If threatened, it may perform a threat display in which it frequently changes direction and dips its pectoral fins. Like other requiem sharks, it is viviparous with females giving birth to 4–6 young every other year. Caribbean reef sharks are of some importance to fisheries as a source of meat, leather, liver oil, and fishmeal, but recently they have become more valuable as an ecotourist attraction. In the Bahamas and elsewhere, bait is used to attract them to groups of divers in controversial "shark feedings". This species is responsible for a small number of attacks on humans. The shark attacks usually happen in spring and summer.
On the infrequent occasions when they swim in oceanic waters, grey reef sharks often associate with marine mammals or large pelagic fishes, such as sailfish (Istiophorus platypterus). There is an account of around 25 grey reef sharks following a large pod of bottlenose dolphins (Tursiops sp.), along with 25 silky sharks (C. falciformis) and a single silvertip shark. Rainbow runners (Elagatis bipinnulata) have been observed rubbing against grey reef sharks, using the sharks' rough skin to scrape off parasites.
Like many sharks, the Caribbean reef shark mainly eats bony fishes. The shark uses six keen senses to locate its prey: olfactory, visual, tactile (including water vibration sensitivity through a lateralis canal system), auditory, gustatory, and electric reception. The Caribbean reef shark is especially adapted to detecting low frequency sounds (indicative of a struggling fish nearby).