The document discusses building custom PHP extensions. It covers setting up a development environment, creating extension skeletons using automated tools, building and installing extensions, and key extension internals like implementing and exposing C functions and PHP parameter parsing. The talk provides an example of a URI template extension the speaker created, explaining what it does, how to use it, and why extensions are important. It also discusses PHP_FUNCTION macro expansion, available parameter types for functions, and how to return values from extensions.