Hardness in water is caused by multivalent metal ions like calcium and magnesium. The document discusses the different types of hardness and methods for measuring and removing hardness, including lime-soda softening. Key points include that lime is used to remove carbonate hardness by precipitating calcium carbonate while soda ash removes non-carbonate hardness, and recarbonation converts precipitates back to bicarbonates to inhibit scaling. Bar diagrams and saturation indices are also discussed for analyzing water hardness levels and stability.