The presentation at WordCamp Buffalo 2018 discusses the distinction between CSS display properties and HTML semantics, emphasizing the importance of using correct HTML structures for accessibility, especially when designing tables. It covers best practices for accessible table design, including the use of attributes like <th> and scope, aria roles, and the implications of CSS properties like display: contents on accessibility. The session aims to raise awareness of how improper use of CSS can obscure semantics for assistive technologies, potentially hindering web accessibility.