Mark Niebergall presented on reducing technical debt by avoiding adding new debt, paying off existing debt through a repeating process, and tips on when to refactor code versus initiating a rewrite. He defined technical debt as consequences of poor design and architecture that are incurred knowingly and inadvertently. Examples of debt include unused code, outdated technology, and overcomplicated code. Sources of debt include changes to libraries, frameworks, and inexperience. Paying off debt requires identifying issues, prioritizing work, and making improvements over time through consistent effort.