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. Visit the premier Las Vegas portal, featuring the most up-to-date and in-depth guide to Las Vegas gambling and betting. Gaming tips and lessons for Pai Gow. Pai Gow Poker is a casino table game and is played with a standard card deck plus one joker. The rules are fairly simple. After making a bet.