You need to know poker-hand rankings in order to properly set hands (see illustration). The player will be dealt seven cards with which they must make two hands: a two-card low hand and a five-card high hand.The game is played with a regular 52-card deck plus a joker.(Alejandro Tamayo / The San Diego Union-Tribune ) Pai gow basics Pai gow poker is known for its slow, relaxed pace, adding to its enjoyment. Allyson Ott, CEO of The Casino Institute, deals pai gow poker.