1) Why don't you plan a nice afternoon or evening with a beautiful lady like me (or Sindee or Adrienne or...). Enjoy lunch/dinner/cocktails and then go back to the room for a special birthday massage

2) Invite 3 ladies together and be spoiled and pampered...order room service, birthday toasts and party like a rockstar at an edgy hotel like the Standard.  

3) Think of your fantasy...and make it happen.  Maybe attend an erotic party like The Pleasure Concierge or Teatro...something that you have always wanted to do.

4) Most of all, be thankful for your life & health and enjoy your birthday as if it was your last day! Life is too short.

Kisses~
Karina

Wow! So many beautiful ladies in this city, thanks for the responses so far, I may need more than one present