Preferential Bayesian Optimization (PBO) aims to find a decision-maker's most preferred solution in as few pairwise comparisons as possible. Existing approaches rely on Gaussian Process (GP) surrogates, which provide strong performance but limited interpretability. This limits real-world usability in high-stakes domains, such as healthcare, where interpretability and trust are essential. We propose DT-PBO, a novel tree-based surrogate model for PBO that is inherently interpretable while capturing preference uncertainty. Specifically, we introduce a novel splitting heuristic that constructs interpretable shallow decision trees directly from pairwise comparison data, and use Laplace approximation to obtain probabilistic estimates for each leaf. This enables efficient preference modeling without sacrificing interpretability. Across eight benchmark functions, our method achieves competitive convergence to GP-based PBO, particularly on functions with rugged optimization landscapes. Additional experiments show robustness against noise and a fast computational running time. Experiments on real-world datasets further demonstrate that our model provides interpretable insights into decision-maker preferences that would remain opaque under GP-based approaches.