The house advantage at Pai Gow poker is about 2.7%, so while it doesn’t offer terrible odds it's also not as advantageous as playing blackjack or craps. Those odds are assuming that the player plays perfect strategy, however, as far as the way they set each of their hands.

Unlike casino games that contain no element of skill, there is some strategy in how the player composes their five-card hand and their two-card hand, so Pai Gow odds can vary greatly depending on how well a player follows the basic strategy for Pai Gow Poker.