How to Play Pai Gow Poker You can still find Pai Gow games in casinos today. There are even games that use dominoes, just like the original versions of Pai Gow. You will also see casinos offering Pai Gow poker, which was created in 1985. The game takes a lot of inspiration from the original Pai Gow dominoes game. One of the biggest differences, though, is that Pai Gai Poker is played with a deck of cards. Also, rather than receiving just four dominoes, pg players each get a total of seven cards. Like the original Pai Gow, players must make their hand into two separate groups. You need to have a five-card poker hand and a two-card poker hand. A player’s five-card hand must be a better poker hand than their two-card hand. Players then compare their hands to the dealer’s hands. If the player’s five and two-card hands beat the dealer’s respective hands, they win.