I come from a very large family, and now that most of the cousins have married, its even larger. I live several thousand miles away, and I'm the only cousin who left my home state. I stopped going home for Christmas years ago - its too stressful, and for whatever reason, I never bonded at all with my cousins and most of my aunts and uncles. I'm the oldest granddaughter, and quite a bit older than most of my cousins. On top of that, I was a shy kid, not the least bit atheletic, and a bit on the pudgy side. (Looking back at pictures, I wasn't that fat, but my weight was a Major Issue (tm) for the family growing up, and still is.)
So, the point is that every year, the cousins draw names. In the beginning, when we were all kids, our parents would of course pay for the gifts and find out what people want. Now, generally, its expected that the cousins pay for the presents, and now all the SOs are involved as well.
So, honestly, at this point, its a matter of exchanging 50 dollars between cousins - its even worse that I"m not there. Two years ago, I didn't even get my cousin gift. Last year, the cousin who drew me step mom (who is definately an adult) ended up buying presents off my amazon.com gift list for me - and the total was significantly less than 50 dollars.
I don't know the cousins well enough to pick out a present other than the standard gift card. I don't speak to them except for the rare occasions I'm home, and we don't have anything much to talk about.
So, this year, I told my mom that I didn't want to be in the gift exchange. This is apparently a "big deal". Honestly, if I was there in person, I would of course participate. But being thousands of miles away, I don't see the point at all.