questionswhat should i get my wife for her birthday?

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Just take her out to a fancy dinner, she would probably enjoy your companion ship better than any good. Or wives always like to be pampered with a massage and a mani/pedi. Make it a combo if you wish!

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What is the thing that bugs her the most, or makes her life a little less enjoyable?

If it's housecleaning, arrange for a deep-clean team to do the house while she is out of the house for a long stretch. If she has a clutter problem, hire a professional organizer to work with her to develop a system. If the interior of her car is a mess, get a deluxe detail job done. If you have kids and appreciate a night out, see if you can get someone to watch the kids for a day and a half and do a mini get-away.

Thought and finished effort is the key. Do NOT tell her the things you could have done but ended up not doing -- that just makes it come across like "I would have done this, but you just aren't special enough to go through with the plan."

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@mellielou: As a clutter person, I say no to the organizer (it's too risky of backfiring)... Although my stuff looks cluttered, I know where everything is. If someone "organized" it I wouldn't be able to find anything and I would get pissed very fast.

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She doesn't want jewelry? Are you sure she's a woman? :)

Perhaps you just meant that you didn't want to get her jewelry...

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@wnyx585am: as a female, not all women want jewelry. i own half a dozen pieces and only wear one-my wedding ring.

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@jsoko - I think I'll do the mani pedi! I'll contemplate the housecleaning thing too...
Thanks all!

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@moosezilla: Yes ma'am. :) I think my wife is sort of the same way. She tends to like the idea of jewelry, but in practice, keeps it pretty basic.

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@wnyx585am: My old lady is like that. Shes not big into jewelry either. She would much rather get her nails done or take a night off from the kids.

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Kindle Fire. She can read her med books on the go, access e-mail/internet, portable to take to class, take notes, etc. If you have a bigger budget then maybe an iPad for the larger screen.

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Does she need anything specific for med school? Uniforms? Stethoscope? I know that in order to go onto nursing school, I need to wear a specific uniform, right down to the pants length and shoes and socks color. I also need a traditional watch (not digital), a stethoscope and various other small things. If she doesn't have something along those lines, then try and get it for her so she doesn't have to worry about getting them together.

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@captainsuperdawg: egad - all good gift ideas, but I think someting along a spa trip for massage and the nail/pedi is something special, thoughtful, and most likely would be welcome relaxation. I do get what you mean, though, but I am not sure I would be ecstatic with a work-related gift. JMO

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@klozitshoper: Granted it's not really a romantic gift, but if she's a big procrastinator like me, it would be perfect. Plus, the wife could also use the saved time to go to the spa or somewhere else relaxing, making it a double-whammy present.

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@jsoko: Oh no no, the organizer would be done WITH the wife. They come up with systems that work with the persons personality and routine.

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@mellielou: Ohh lol. Good! Then the trick is to keep it organized the day after. Haha.