If your friend wants steak for his birthday, that's what he should have, but if he is American, he may want to know in advance that the steak in Italy will taste different than most American steaks, because the Italian beef is grass-finished rather than corn-finished, meaning that the steers eat a lot of corn just before they become steaks. Also, the Italians serve steaks and chops with more fat than you usually find on steaks or chops in an American restaurant, and therefore the birthday steak may look a little different. We went to Dal Toscano one time so that my husband could order a steak ("I just need an injection of beef" is what he said), and it was okay, but he was not enthusiastic about it. At another restaurant he tried the green peppercorn steak (pepe verde), a classic dish popular in Rome (it has a creamy sauce along with the peppercorns) and found it to be fabulous, so your friend might want to think about being adventurous on his birthday and order a different kind of steak.