My family was great for birthdays but we worked on low key birthday greetings all day until after dinner when we got cake and ice cream and song and presents.
One of my favorite Instagram families has an adorable little boy adopted from the Ukraine who turned 4 this morning. He's mostly non verbal with downs syndrome but he's a great communicator and totally up for being 4. His birthday video is one of my very favorites. (He bed is tented because he get extra oxygen while he sleeps.)