This tutorial guides users through creating an MMS messaging app using Django and Twilio Programmable SMS. The process involves setting up a free Twilio account, provisioning a phone number, and creating a virtual environment for the project. Users are then prompted to add necessary components such as Python 3.6 or newer, a text editor, ngrok, and a smartphone capable of sending and receiving MMS messages. Once these requirements are met, users can configure their project settings, create URL patterns, and add a webhook to their Twilio phone number. The tutorial concludes with adding view logic to read inbound SMS content and determine the response based on the content. However, it also highlights limitations of Twilio MMS such as formatting and resizing media files, limits on size and amount of media files, and considerations for non-MMS enabled devices and carriers.