Phonological processes are the shortcuts young children take while they learn to talk. When a two-year-old says “tat” for “cat”, they aren't getting it wrong at random. They're swapping in a sound their mouth can already make, and they do it in predictable patterns.
Every child uses these patterns, and most fade on their own by a certain age. A pattern that sticks around well past that age, or one that isn't part of typical development at all, can be a sign of a speech sound disorder. That's when a speech-language pathologist can help.