Scala macros allow developers to extend the Scala compiler through compile-time metaprogramming. Macros are implemented by passing abstract syntax trees (ASTs) to macro functions, enabling AST transformations and code generation. While challenging to implement hygienically, macros provide a simple and flexible way to perform compile-time checks, processing, and code generation through quasiquotations. The Slick library demonstrates macros' power by translating Scala queries to SQL at compile time via macro-driven AST transformations and splicing.