This document discusses techniques for efficient pagination over large datasets using MySQL. The typical solution of using LIMIT and OFFSET can degrade performance as the offset increases. The document proposes using additional criteria like a "last seen" value combined with ordering to retrieve the next page without an offset. This allows fetching the next results set using an index scan. Testing showed a 6x improvement in query throughput over using large offsets. Additional enhancements like secondary indexes and caching are discussed to further optimize pagination.