Pai Gow Poker combines elements of the ancient Chinese game of Pai Gow and the American game of poker, and is played with a traditional deck of 52 playing cards plus one Joker. Pai Gow Poker is essentially playing two separate poker hands according to traditional poker rankings. The Joker is used only as an Ace or a wild card to complete a straight or a flush. The dealer starts the game by rolling three dice. The total of the dice determines which player receives the first set of cards. Each player receives seven cards and creates two hands simultaneously: a high hand and a second-high hand. Both hands must be higher than the bank hands to win.