The document discusses best practices for running Microsoft SQL Server on AWS. It provides an overview of options for deploying SQL Server on AWS, including using Amazon RDS or Amazon EC2. When using RDS, AWS manages the SQL Server instance and provides features like automated backups and read replicas. When using EC2, the user has more control but must manage SQL Server, backups, and high availability. The document discusses considerations and techniques for optimizing SQL Server performance on EC2, including storage options and configuration.