Lightweight transactions (LWTs) allow conditional writes in Cassandra by adding a consistency check to writes. They work by reaching consensus across replicas using a prepare, propose, accept, commit process. This allows conditional updates like "only increment the count if it's currently 5" to be applied atomically. The summary describes how LWTs are more expensive than regular writes due to this consensus process. While useful to avoid lost updates, the increased latency from LWTs means regular techniques may be preferable if consistency checks aren't strictly needed.