Azure SQL Database is a managed cloud database service that makes building and maintaining applications easier. It provides continuous learning of app patterns to optimize performance, reliability, and data protection. The service takes care of scalability, backup, and high availability. It provides recommendations to optimize database performance and fix issues. Azure SQL Database offers pricing tiers for different performance levels and capabilities for security, monitoring, and compliance. It can be used for a variety of workloads including web, mobile, and multi-tenant apps.