This document discusses using profiling tools to identify and address database performance problems caused by slow SQL queries. It outlines a process of creating a profile to examine slow queries, tuning any inefficient SQL code, analyzing indexes, and testing rewritten queries for improved scalability. SQL profiling can help find issues like missing indexes, queries that run too long or are executed frequently, and opportunities to optimize SQL constructs and set logic for more efficient processing. The document recommends using a tool like IDERA DB Optimizer to automate the profiling, analysis, and tuning steps needed to overcome SQL challenges and fix database performance issues.