I get something for my wife. She gets everything else. We don't tend to exchange gifts in any meaningful way with very many people, which suits me fine. It seems like an ongoing headache trying to figure out what to get someone, going from place to place trying to find something suitable, not to mention ending up with a growing pile of gifts that have outlived their usefulness (if they ever had any in the first place) and wondering how soon you can get rid of them without upsetting the giver.
My wife likes to do canning in the summer and bakes some mean cookies, so we exchange token consumable gifts with a few people. It works because not only does it avoid the hideous cost that Christmas can involve, it's far more personal and there's no sense of accumulating stuff that nobody wanted but everybody has to keep because it was a gift. Once the goodies we've given someone for Christmas are eaten there's nothing to store, and the expectation is that within a few weeks it will all be gone. It's also handy because, with few exceptions, everybody gets the same thing, and if people reciprocate or don't reciprocate it doesn't matter.
