Left-heavy refers to a condition in self-balancing binary search trees (BSTs) where the left subtree of a node has a significantly greater height or number of nodes than its right subtree. This imbalance can lead to inefficient operations such as insertions, deletions, and lookups, as it distorts the tree’s balanced structure. Self-balancing trees, like AVL and Red-Black trees, implement specific rotations to correct such imbalances and ensure that operations remain efficient.