I think we've all experienced at least one situation where we didn't have any gift ideas for our significant other or someone who means a lot to us... including me. In my experience the ideas other people come up with aren't as personal and meaningful as my ideas because they don't know the person as well as I do and don't have the connection to them that I have.
I like to try to come up with a sentimental gift, a fun gift and a practical gift for a significant other's bday. Sometimes I also include a sexy gift but not often because to me a sexy gift is for both of us and a bday should just be a celebration about her.
I'm 100% positive you can figure out the perfect gift