In the Netherlands, Saint Nicholas' Eve (December 5) is the primary occasion for gift-giving, when his reputed birthday is celebrated. In this case, roles are reversed, though, in that Sinterklaas is the one who gives the presents.

In recent years, Christmas (along with Santa Claus) has been pushed by shopkeepers as another gift-giving festival, with some success; although, especially for young children, Saint Nicholas' Eve is still much more important than Christmas.

In the days leading up to December 5 (starting when Saint Nicholas has arrived in The Netherlands by steamboat), young children put their shoes in front of the chimneys and sing special 'Sinterklaas-songs'. Often the shoe is filled with a carrot or some hay for the horse of St. Nicholas (called Amerigo). On the next morning they will find a small present in their shoe, ranging from a bag of chocolate coins to a bag of marbles or some other small toy. On the evening of December 5th, Sinterklaas brings presents to every child that has been good in the past year (in practice to all children). This is often done by placing a sack with presents outside the house or living room, after which a neighbour or parent bangs the door or window, pretending to be Sinterklaas' assistant. Another option is to hire or ask someone to dress up as Sinterklaas and deliver the presents personally. Sinterklaas wears a bishop's robes including a red cape and mitre, rides a white horse over the rooftops and is assisted by many mischievous helpers with black faces and colourful Moorish dress, dating back two centuries. These helpers are called 'Zwarte Pieten' (Black Petes).

In the past number of years, there has been a recurrent discussion about the politically incorrect nature of the Moorish helper. In particular Dutch citizens with backgrounds from Suriname and the Netherlands Antilles feel offended by the Dutch slavery history connected to this emblem and regard the Zwarte Pieten to be racist.