B+ trees are an advanced form of self-balancing trees used for indexing in databases. They improve upon B-trees by only storing data pointers in the leaf nodes, allowing for faster searches. The structure has internal nodes forming multiple levels of indexing and leaf nodes containing all key values and data pointers linked together. This allows both direct and sequential access to stored records. Operations like searching, insertion, and deletion on a B+ tree involve traversing the tree to the appropriate leaf node and rebalancing the tree if needed to maintain its properties.