Pai Gow Poker is 'n casino dobbel spel wat gebaseer is op die Chinese Domino spel Pai Gow maar gespeel met poker kombinasies.
Seven cards are dealt to each player. All players other than the dealer look at their cards and divide them to form two hands - a two card hand and a five card hand. The player must arrange the cards so that the five card hand is higher than the two card hand (so if the two cards were a pair of aces, the five card hand would have to contain two pairs or better). The result between the dealer and each player is determined by comparing the player's 5 card hand with the dealer's 5 card hand and the player's 2 card hand with the dealer's 2 card hand. If the player wins both hands the dealer pays out the amount staked by the player. If the dealer wins one hand and the player wins the other no money changes hands. This is called a "push". If the dealer wins both hands the dealer wins the player's stake.