It may be used as an ace, or to complete a straight, flush, straight flush or royal flush.' A single 53-card deck is used, consisting of the usual 52 cards, plus one joker.If you want to know only how Face Up Pai Gow poker differs from conventional pai gow poker, then you can skip over the rules. Naturally, there is a side bet to cover that contingency. If the best five-card hand the dealer can make is ace-high, then the hand is an automatic push. On this page Face Up Pai Gow Poker IntroductionĪs the title says, Face Up Pai Gow Poker is pai gow poker played with a fully-exposed dealer hand.