In casino play, the first betting round begins with the player to the left of the big blind, and subsequent rounds begin with the player to the dealer's left. Home games typically use an ante; the first betting round begins with the player to the dealer's left, and the second round begins with the player who opened the first round.

Play begins with each player being dealt five cards, one at a time, all face down. The remaining deck is placed aside, often protected by placing a chip or other marker on it. Players pick up the cards and hold them in their hands, being careful to keep them concealed from the other players, then a round of betting occurs.

If more than one player remains after the first round, the "draw" phase begins. Each player specifies how many of his cards he wishes to replace, and discards them. The deck is retrieved, and after a burn card is dealt each player is dealt in turn from the deck the same number of cards he discarded so that each player again has five cards. It is important that each player discards the cards he wishes to replace before he takes any replacements, and that he takes the same number of replacements as he discarded.

A second "after the draw" betting round occurs beginning with the player to the dealer's left or else beginning with the player who opened the first round (the latter is common when antes are used instead of blinds). This is followed by a showdown if more than one player remains, in which the player with the best hand wins the pot.

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