Pai Gow is played in casinos using a stack of 32 dominos. Players receive a stack and use it to create two hands, a rear and a front hand. Having both hands, the player can beat the dealer's opposite hands or make nine-total wins. Skill and a good understanding of rules make a good Pai Gow player.
The Cayman Islands rely heavily on tourism and are known as a tax haven for the rich and famous. Despite being a stopping-off point for cruise ships, their passengers may be disappointed to learn that all forms of gambling are illegal in the Cayman Islands. However, the use of offshore online platforms appears to be widespread practice.