The lack of a nice obviously symmetric notation for $\binom{a+b}{b}$ has bothered me; Dijkstra suggested in EWD 782 the notation $P(a,b)$, generalizing it also to $P(a_1,\ldots,a_k)$ for $\binom{a_1+\ldots+a_k}{a_1,\ldots,a_k}$. (Though I certainly disagree with him about $\binom{n}{k}$ being useless - you certainly do want to think about it that way a lot of the time.) I haven't actually had any reason to use this since I saw it but I can certainly think of times I would have.
Also the double-parentheses multichoose notation $\left(\!\binom{n}{k}\!\right)$ is nice (though I don't know how to typeset it) because it lets you say "...and this is n multichoose k (which is equal to this binomial coefficient)" instead of just jumping directly to a binomial coefficient whose relevance may not be immediately obvious. But I suppose that's not really on the level of giving you a better way to look at things.
