The document discusses how IO requests are handled in Windows from userland down to the hardware level using IO Request Packets (IRPs). It explains that when an application makes an IO call like ReadFile, the IO Manager creates an IRP that encapsulates the request and passes it through a stack of drivers. Each driver can perform tasks and pass the IRP to the next driver down until it reaches the hardware driver, which completes the request. On completion, the hardware driver calls up through completion routines while passing back the IRP.