The dealer deals out all the cards to the players (generally some will have one more card than others - this does not matter). The players all look at their cards and discard any pairs they have (a pair is two cards of equal rank, such as two sevens or two kings).

The dealer begins. At your turn you must offer your cards spread face down to the player to your left. That player selects a card from your hand without seeing it, and adds it to her hand. If it makes a pair in her hand she discards the pair. The player who just took a card then offers her hand to the next player to her left, and so on.

If you get rid of all your cards you are safe and you take no further part. The turn passes to the next player to your left, who spreads his or her cards for the following player to draw one. Eventually all the cards will have been discarded except one queen (the old maid) and the holder of this queen loses.