We generally don't give eadh other gifts; only cards with gushy stuff. We usually go out for a really nice dinner. For our 10th, however, we did manage to con our parents into watching the 2 kids and went on a really nie 10 vacation. It was almost boring but so worth it. We planned the whole thing in the beginning of May (anniv in July) and I was actually 10 weeks preggo! So it was a last hurrah as well.
This year is the year of 10th anniversaries..lol My husband and I will celebrate our 10th anniversary in December of this year. We've talked about maybe going to Vegas (we were there in 2001 and I loved it) and renewing our vows at one of those chapels there. It kind of depends on our finances at the time.