This document discusses managing and monitoring large SQL Server estates. It describes some of the challenges including ensuring backups and disk space are properly configured, implementing change control, and addressing performance issues. It recommends establishing alerts, dashboards, and a central repository to collect data. Specific performance metrics like wait stats, Perfmon counters, and long-running queries are identified. DIY solutions are suggested but can be complicated, so the document promotes monitoring software to help solve problems across many SQL Server instances.