Sessions allow storing of data on the server to access from any server-side script. A session ID is generated and sent to the browser via a cookie or GET parameter to link the client to the stored data. This allows user information like username and ID to persist across page loads and redirects. To use sessions in PHP, start the session with start_session() before sending any output. Then access the session data via the $_SESSION superglobal array, treating it like a normal PHP array to add, edit, read and remove fields of data. Sessions provide a simple way to maintain state across multiple pages for dynamic web applications.