My family went to Tuskies last month to celebrate a few birthdays including my Aunt's who was 81. We made a 6 pm reservation but given we were coming back from a day trip to WVA with two ladies of a certain age, we called to see if they could sit us earlier. (I should mention I had told them about my aunt's birthday when I made the reservation 3 days earlier).
When we showed up, they seated us in a quiet part of the restaurant (as requested) and gave us the menus........(sorry, spoiler alert) and all the menus were individually printed and at the top they said "Happy Birthday ____(my aunt's name). There were one or two missteps on who ordered what...I can vouch for the server, we weren't exactly clear on the appetizer choice. But the replacement appetizer of oysters on the half shell showed up within minutes (maybe 4 minutes) of us asking about it. Overall, it was a great experience after seeing Sheppardstown, Harper's Ferry, and Waterford as a part of a country trip for my grandmother and her sister. A friend of mine in Leesburg urged me to go there and I'm glad I did. I have the following recommendations 1) if it's a special occation, please tell them and let them know what it is. I couldn't have chosen a better table or better way to say "happy birthday" (I didn't give away all the birthday surprizes). 2) make a reservation!! This place is wildly popluar in Leesburg.