Chord extensions of the 7th chords that include the 9th, 11th and 13th all are chords that provide extra colour but do not alter the chord quality (and therefore its function) in any way (see Lesson 19).
The same applies to chord alterations (see Lesson 20).
This is especially useful to know when you, as a relative beginner, come across some intimidating looking chord symbols.
For example : C9#11 b13 = C E G Bb Db D F# Ab
A daunting looking thing in anyone's language, but all it really represents is a basic C7 chord with an extra bit of colour and tension thrown in.
Play a normal C7 chord and Bob's your uncle.
This is not to say that you should not use these extra colours, but it is important that you understand what is really functional and what is just icing on the cake.
You often find that the chord alteration specified in the chord symbol accommodates a note in the melody.
For example over a G7#9 you may find a Bb (or A#) in the melody. There is therefore no need to play that note in your chord, for the melody will add the alteration effect in a subtle way to it.