Why a black box is not enough
The usual way to hide something in a PDF is to draw a black rectangle over it. It looks right, but the text is still in the file underneath: select the area, copy and paste, or search for the word, and it comes straight back. Courts, companies and newspapers have all published documents that were redacted this way and leaked exactly what they meant to hide.
What this tool does instead
Every page that has a box is drawn to a picture with the boxes painted into the pixels, and the PDF is rebuilt from those pictures. There is no text left under a box because there is no text left on the page. The title, author, bookmarks and attachments of the whole document are dropped as well, since they often repeat what you are hiding. Pages you did not box are copied across unchanged. When it finishes, the tool re-reads the result and will not offer the download if text, links or annotations remain on a redacted page.
The honest trade-offs
A redacted page can no longer be selected or searched, including the words you did not hide, and the file gets bigger. If you need searchable text again, run the result through OCR PDF. The tool finds text, not words inside photos, so draw a box over those yourself. To lock the finished file, use Protect PDF, and to clean up what a PDF says about its author, use Edit Metadata. Always open the result and check it before you share it.