The document discusses various techniques for optimizing SQL Server performance, including handling index fragmentation, optimizing files and partitioning tables, effective use of SQL Profiler and Performance Monitor, a methodology for performance troubleshooting, and a 10 step process for performance optimization. Some key points covered are determining and resolving index fragmentation, partitioning tables across multiple file groups, capturing traces with SQL Profiler and Performance Monitor counters to diagnose issues, and ensuring proper indexing through query execution plans and the SQL Server tuning advisor.