Large-scale casinos are a growing presence in North America, bringing with them the promise of large revenues but at the risk of significant public costs. A major casino has been proposed for Vancouver, and this discussion paper has been prepared to help interested citizens reflect on casino-related issues as part of a provincial Casino Review. The paper discusses the current status of British Columbia's gaming industry and then sets out questions to be considered in the following areas: the effect of a large casino on Vancouver's image; casino impacts on business, tourism, and cultural industries; effects on employment, including direct employment at the casino or on casino construction and indirect spinoff employment; the issue of problem gambling and its possible increase with the presence of a casino; and effects of a casino on local business, housing, existing gaming, and municipal government revenues and expenses.