The document discusses various programming tools and languages that can be used to extend CSS functionality. These include Less, Sass/SCSS, and HSS. Some key features they provide are variables, mixins, nested rules, and mathematical functions/operations. They allow defining variables, reusable styles, and nesting selectors to reduce code duplication and make CSS more maintainable. The document compares features of these preprocessors to plain CSS and outlines how to set them up and use them both on the client-side via JavaScript and on the server-side via command line tools.