Pai gow is an ancient Chinese dominoes game that has been adapted for use in today's modern casinos. The traditional version of the game involves a set of 32 tiles that are arranged in a special way, with the goal of creating two hands from them. In the casino version of the game, players are dealt seven cards, which they then split into two hands of two and five cards each. The five-card hand is ranked according to traditional poker hand rankings, while the two-card hand is ranked according to pairs and high cards. Players then compete against the banker, who is usually the dealer, to create the strongest two-card and five-card combination.