Pai Gow means "make nine" in Cantonese which is played with one set of Chinese Dominoes. Pai Gow is a popular casino game in China, United States, and Canada.

The player is dealt 4 tiles and he/she must divide the tiles into two hands of 2 tiles each. The hands are categorized as "High Hand" and "Low Hand" as per value of individual hands. Player compares his/her hand with the dealer to decide the winner. "High Hand" can only be compared with "High Hand" of the other player and "Low Hand" with "Low Hand" of the other player. In order to win, player must win both hands against the dealer. If player wins one hand and loses second hand then it is a tie.