Balanced binary search trees like AVL trees and red-black trees use rotations and recoloring to ensure the tree remains height-balanced during insertions and deletions, keeping search, insertion, and deletion operations efficient at O(log N) time. They improve on standard binary search trees which can deteriorate to linear time if nodes are inserted in a certain order. Top-down insertion algorithms for these balanced trees may perform single or double rotations and change node colors up the tree as needed to restore balance.