The document discusses database performance tuning. It recommends using Active Session History (ASH) and sampling sessions to identify the root causes of performance issues like buffer busy waits. ASH provides key details on sessions, SQL statements, wait events, and durations to understand top resource consumers. Counting rows in ASH approximates time spent and is important for analysis. Sampling sessions in real-time can provide the SQL, objects, and blocking sessions involved in issues like buffer busy waits.