Parametric spatial audio coding methods aim to represent efficiently spatial information of recordings with psychoacoustically relevant parameters. In this study, it is presented how these parameters can be manipulated in various ways to achieve a series of spatial audio effects that modify the spatial distribution of a captured or synthesised sound scene, or alter the relation of its diffuse and directional content. Furthermore, it is discussed how the same representation can be used for spatial synthesis of complex sound sources and scenes. Finally, it is argued that the parametric description provides an efficient and natural way for designing spatial effects.