In this review, the authors explore gambling in Wales, United Kingdom (UK) and identify whether it is a public health issue or not. They reviewed research articles and publicly available information. The authors suggest that gambling should be considered a public health issue in Wales. About three in five adults in Wales had gambled in the past year. About 1% of the population have problem gambling. Gambling problems cost Wales a lot of money, and have greater effects on vulnerable people, including low-income people and children. There is a need for prevention programs at a population level to address this public health issue in Wales.