On 18 May 2004, the Sands Macau casino opened near the Macau Ferry Terminal. Today, there are 16 casinos operated by the STDM, and they are still crucial in the casino industry in Macau.

Singaporeans and Permanent Residents of Singapore (the "Residents") must have a valid entry levy to enter the casino premises. Person eligible to enter casino premises must be 21 years old or above.