The document discusses different types of relationships in a relational database: one-to-one (1:1), one-to-many (1:M), and many-to-many (M:N). It states that the 1:M relationship is most common and should be the norm. While the 1:1 relationship can exist, it is rare. The M:N relationship cannot be directly implemented and instead requires creating a composite/linking entity to convert it to multiple 1:M relationships. Examples of each type of relationship are provided to illustrate how they are modeled and implemented in entity relationship diagrams and tables.