Pai Gow Poker is a version of Pai Gow that is played with playing cards. The Chinese traditionally play the game with dominoes, but it’s much easier to offer the game with cards in a casino. Pai Gow has its roots in China, but Pai Gow Poker was created in 1985 within the United States. You can play Pai Gow Poker at any of these casinos. The game is popular with Asian players.