This document provides a step-by-step explanation of how to perform subtraction when both the tens and units digits of the number being subtracted are greater than the corresponding digits of the number being subtracted from. It uses the example 645 - 378 to demonstrate making adjustments from the tens to the units, from the hundreds to the tens, and finally subtracting the hundreds to arrive at the solution of 267. The document notes that once this method is mastered confidently, it can be simplified to the standard written subtraction method.