Doug Sillars discusses optimizing image performance on websites. He outlines 4 simple optimizations: 1) reducing image quality, 2) using optimized formats like WebP and SVG, 3) sizing images appropriately, and 4) lazy loading images below the fold. Properly implementing these techniques can significantly improve page load times and reduce data usage. Sillars also provides tips on monitoring image usage in the wild and considerations for different network conditions and user expectations.