The document discusses async-await in C# and how it works under the hood. It begins with questions about what happens when await is used. It then explains that async-await is used to compose asynchronous code using task continuations generated by the compiler. It discusses how await marks a continuation and depends on the context to determine threading. Windows I/O is used as an example of asynchronous operations without threads. The document concludes with recommendations to avoid deadlocks by not blocking on async code and to only use async-void for event handlers.