What does Amazon RDS manage on my behalf?
Amazon RDS manages the work involved in setting up a relational database: from provisioning the infrastructure capacity you request to installing the database software. Once your database is up and running, Amazon RDS automates common administrative tasks such as performing backups and patching the software that powers your database. With optional Multi-AZ deployments, Amazon RDS also manages synchronous data replication across Availability Zones with automatic failover.
Since Amazon RDS provides native database access, you interact with the relational database software as you normally would. This means you're still responsible for managing the database settings that are specific to your application. You'll need to build the relational schema that best fits your use case and are responsible for any performance tuning to optimize your database for your application’s workflow.