The document outlines the features and enhancements introduced in PHP 7.3, including an improved garbage collector, relaxed heredoc/nowdoc syntax, and the deprecation of case-insensitive constants. Key improvements include support for upsert in SQLite, new PCRE features, and updates to JSON encoding and error handling. Additional changes involve the introduction of function features like is_countable() and hrtime, as well as the removal of certain undocumented functions.