Eventually all the cards will have been discarded except one queen (the old maid) and the holder of this queen loses. The turn passes to the next player to your left, who spreads his or her cards for the following player to draw one. If you get rid of all your cards you are safe and you take no further part. The player who just took a card then offers her hand to the next player to her left, and so on. If it makes a pair in her hand she discards the pair. That player selects a card from your hand without seeing it, and adds it to her hand. At your turn you must offer your cards spread face down to the player to your left. 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 deals out all the cards to the players (generally some will have one more card than others - this does not matter). It is also possible to play with a special pack - see variations below.
From a standard 52 card pack remove one queen leaving 51 cards. This children's game is known by various names in many parts of the world, for example it is Schwarzer Peter (Black Peter) in Germany, Vieux Garçon or Le Pouilleux in France, Ekae in Thailand and Papaz kaçtı in Turkey.