The document discusses managing costs on Amazon Web Services (AWS) by gaining visibility into infrastructure and application usage, defining a reference architecture and capacity management policies, rightsizing unused resources, and optimizing through reserved instances and spot instances to reduce costs by up to 40%. It also highlights that while AWS provides some tools for cost management, third party tools can provide more advanced visibility and metrics are needed to properly measure cloud utilization and costs over time. The document demonstrates an internal tool called Sonian CloudControl for managing AWS resources and costs.