We used to exchange names for gifts but that was still not much fun. For the adults (anyone over 16!) we are now playing a 'CHRISTMAS' game - each year, everyone buys one gift, the gift starts with the current letter of the year (this year we're on 'T'). Limit for each gift is agreed upon prior - usually around $25. The gifts are wrapped as 'guy', 'gal' or 'anyone' gifts and placed in a pile. A deck of cards is shuffled and everyone gets a card - highest card picks first - gifts are opened as we go. Everyone, in turn, picks either from the pile or from someone who already has a gift (then that person gets a new gift). After everyone has something, another round of cards is passed out, and this time we either exchange or keep what we have (if exchange, the person you take the gift from can keep or exchange again - altho some years we skip that part). There are always interesting articles and lots of laughter. Makes it really easy - want to play, bring a gift!
Younger children provide a list to aunts/uncles and we pick something from their list. No grandkids to spoil yet.
At work, we eliminated 'Secret Santa' in favour of supporting families in need via the local social service agency - they provide us with age/sex of the child in need, and each child gets $100 in gifts. In the past, we've had some large families and have also gifted shopping/grocery cards to the parents. Some people just love shopping, and they volunteer to find the goodies for the kids. Some shop all year and find bargains throughout the year, keeping them for the next Christmas. Sure feels good to spread some Christmas cheer to local families we know appreciate it.