Hold 'em is normally played using small and big blind bets – forced bets by two players. Antes (forced contributions by all players) may be used in addition to blinds, particularly in later stages of tournament play. A dealer button is used to represent the player in the dealer position; the dealer button rotates clockwise after each hand, changing the position of the dealer and blinds. The small blind is posted by the player to the left of the dealer and is usually equal to half of the big blind. The big blind, posted by the player to the left of the small blind, is equal to the minimum bet. In tournament poker, the blind/ante structure periodically increases as the tournament progresses. (In some cases, the small blind is some other fraction of a small bet, e.g. $10 is a common small blind when the big blind is $15. The double-blind structure described above a commonly used and more recent adoption.)

After slow but steady gains in popularity throughout the 20th century, hold 'em's popularity surged in the 2000s due to exposure on television, on the Internet, and in popular literature. During this time hold 'em replaced 7 card stud as the most common game in U.S. casinos, almost totally eclipsing the once popular game. The no-limit betting form is used in the widely televised main event of the World Series of Poker (WSOP) and the World Poker Tour (WPT).

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