Pivot tables allow users to summarize and analyze data in Excel by aggregating and reorganizing the data into a new format determined by the user. The document provides a step-by-step tutorial on how to create a pivot table using sample voter data. Key steps include selecting the data range, inserting a pivot table on a new worksheet, and dragging fields from the pivot table field list to rows, columns, and values areas to choose how the data should be organized and summarized. Advanced techniques like filtering, moving fields, and customizing pivot table options are also demonstrated.