Pai - gow poker is a banking poker game played in Las Vegas and some of the California card clubs. The object of pai - gow poker is to make two poker hands that. This is a casino gambling game based on the Chinese Domino game Pai Gow but played with poker combinations. It can be played by up to. Standard poker ranking rules are followed with one strange may bet against the dealer, and other players in pai gow poker. Pai Gow Poker Strategy · Barona House Way · MGM Grand House Way · Side Bets.