Red-black trees are self-balancing binary search trees. They guarantee an O(log n) running time for operations by ensuring that no path from the root to a leaf is more than twice as long as any other. Nodes are colored red or black, and properties of the coloring are designed to keep the tree balanced. Inserting and deleting nodes may violate these properties, so rotations are used to restore the red-black properties and balance of the tree.