It is located between Llandovery and Lampeter, 1 mile north-east of the A482 that connects these two towns. Caio lies at the confluence of the Afon Annell and the Nant Frena. It forms part of the parish of Cynwyl Gaeo. In former times it gave its name to Cayo Hundred.
The parish church, consecrated to Saint Cynwyl, now stands at the centre of the village, near the Roman road that linked the Roman forts at Llandovery (Alabum) and Llanio (Bremia), and the Roman gold mines at Dolaucothi. The Roman road remained in use until the late 18th century, mainly as a cattle-road or Drover's road. The Dolaucothi Estate long held by the Johnes family is now a tourist attraction owned by the National Trust. A pounding-stone long known as Carreg Pumsaint and a possible holy well are located nearby.
Llywelyn ap Gruffydd Fychan (c. 1341 – 9 October 1401) was a Caio landowner, who was executed by Henry IV for his alleigance to Owain Glyndŵr. The hymnist Dafydd Jones (1711–1777), also known as Dafydd Jones o Gaeo was born in the area. Two other hymnists, the brothers John Dafydd (1727–1783) and Morgan Dafydd (m. 1762) are also connected to the village.
The oldest record of a chapel in the village is the Tynewydd Calvinistic Methodists chapel which was built around 1774. The old Ysgol Gynradd Caio stands next to the church, and was built in 1869. It taught primarily through the medium of Welsh, but closed in 2012.
Other amenities include Caio Post Office and a public house, the Brunant Arms. At the turn of the century there were several public houses, the "Brunant Arms", the "Sexton's Arms", which was run out of someone's front room, and the "King's Head Inn".
- Gareth Hicks (4 June 2009). "CONWIL CAIO [CYNWYL GAEO]". GENUKI. Retrieved 16 January 2011.
- "Carreg Pumsaint - Standing Stone (Menhir) in Wales in Carmarthenshire (Sir Caerfyrddin)". The Megalithic Portal.
- "Henry Tremble". Stories in Welsh Stone. 20 April 2009.
- Fred S. PRICE (1904). "History of Caio, Carmarthenshire". Archive.org.
- "Time May Change Me - A Village Called Caio". BBC. Retrieved 20 December 2011.
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