Structured Streaming provides a scalable and fault-tolerant stream processing framework on Spark SQL. It allows users to write streaming jobs using simple batch-like SQL queries that Spark will automatically optimize for efficient streaming execution. This includes handling out-of-order and late data, checkpointing to ensure fault-tolerance, and providing end-to-end exactly-once guarantees. The talk discusses how Structured Streaming represents streaming data as unbounded tables and executes queries incrementally to produce streaming query results.