PDO Full form is PHP Data Objects as PDO extension defines a lightweight, consistent interface for accessing databases in PHP. Each database driver that implements the PDO interface can expose database-specific features as regular extension functions. Note that you cannot perform any database functions using the PDO extension by itself; you must use a database-specific PDO driver to access a database server.
PDO provides a data-access abstraction layer, which means that, regardless of which database you're using, you use the same functions to issue queries and fetch data. PDO does not provide a database abstraction; it doesn't rewrite SQL or emulate missing features. You should use a full-blown abstraction layer if you need that facility.
PDO ships with PHP 5.1, and is available as a PECL extension for PHP 5.0; PDO requires the new OO features in the core of PHP 5, and so will not run with earlier versions of PHP.