Marco Tusa gave a presentation on using ProxySQL to improve performance with Amazon Aurora databases. He explained what ProxySQL and AWS Aurora are and how ProxySQL can be configured to work with Aurora to distribute read queries across replicas for load balancing. Metrics were shown that read latency is lower with ProxySQL compared to directly connecting to Aurora. The native Aurora connection endpoints are limited while ProxySQL allows more granular control over query routing and additional features like caching.