If you want to activate the Pair Plus wager in this casino game, the first move you'll make will be to place a bet on this outer circle. Whether you do this or not, you'll also place your Ante on the second circle. You and the dealer will then both get 3 cards.
Once you've seen your hand, you'll need to decide what to do. You can Fold and end the round, forfeiting the bets you've already made, or continue to the innermost circle which is labelled Play. If you do this, you must put down a new bet that is at least as high as your Ante. At this point, the dealer hand is revealed, and has to qualify with a Queen high for the round to continue.