SMP/E is a tool used to install and maintain software on z/OS systems. It controls changes at the element level, selecting proper levels of elements to install from potential changes and calling system utilities to install the changes. SMP/E manages this process through zones like the Global, Target, and Distribution zones. It uses terminology like SYSMODs, elements, and FMIDs to track changes and prerequisites for installation. The basic process flow involves receiving updates, applying them to the Target zone, testing, then accepting them to the Distribution zone.