Little Pualani is enjoying a splendid day at Lanikai beach when she suddenly notices something wrong with her hair. LICE! Pualani has lice! But not just any lice...mischievous lice who are having a good time playing with her hair and tickling her. There will come a time, however, when Pualani won't be able to endure those damned lice, and she will have to try to eliminate them!

Aloha Pioha is a fast card game where each player represents the chief of a tribe of Hawaiian lice who are having a blast pulling a little girl's hair. You must play your lice cards wisely, manage your hand, and be the most cunning to win the battle of the hair!