Utplsql is a unit testing framework for Oracle PL/SQL designed to enhance the quality and reliability of PL/SQL code through structured testing protocols. It advocates for principles such as writing unit tests first, automating test execution, and integrating testing into the development process to improve efficiency and confidence in software. The document outlines how to install and use utplsql for comprehensive testing, while also addressing common challenges in shifting from ad-hoc testing to a formalized approach.