It's my birthday on Sunday and as far as I know I'm getting surprises! No one has asked me what I would like but I know some people have already got my presents so I just have to wait and see.
Anyway in answer to your question, I would ask for a nice handbag or perfume. Or maybe a day at a spa. Or tickets to a show. Or a charity gift would be good, as red suggested. If you don't actually need anything, then there are lots of charities who give gifts to those who need things. You could get someone to plant a tree for you.
Ooooh I am so impressed with all my ideas! :0