The document discusses different approaches to cross-platform mobile app development including building native apps for each platform (Silo approach), using hybrid approaches like HTML5/web technologies, and using the Xamarin framework. It outlines benefits and challenges of each approach, and goes into more detail on how Xamarin allows building apps using C# and shared code while still providing native experiences for each platform. It also discusses Xamarin.Forms for building cross-platform UIs with shared code and controls.