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Learn how to address performance issues in Azure SQL Database in this 51-minute conference talk. Discover key differences in performance tuning methodologies between on-premises SQL Server and Azure SQL services. Explore monitoring options, changes in cloud DMVs, and additional cloud tuning tools like Azure SQL Analytics and Performance Insights for quickly accessing performance data across multiple instances. Understand the considerations for choosing between scaling-out to readable secondaries and scaling-up to higher tier solutions. Join Microsoft MVP Monica Rathbun as she discusses the challenges and benefits of tuning in the cloud, providing insights on what to expect and keep in mind when optimizing Azure SQL Database performance.