A market maker who sells you a call is short delta and does not want the directional risk, so they buy shares against it. As the option's delta changes, the share hedge must change too — this rebalancing is the mechanical link between the options market and flows in the stock itself.
For a trader, delta hedging converts an options position into a pure bet on volatility. Sell an expensive straddle, hedge the delta continuously, and your profit or loss depends on whether realized-volatility comes in below the implied-volatility you sold, not on where the stock goes.
Example: you are short one XYZ $50 call with 0.52 delta, so short 52 share-equivalents. Buy 52 shares and the position is flat. XYZ rises to $52 and the delta becomes 0.64, so buy 12 more. Each rebalance locks in a small loss because you are always buying higher — that is negative gamma in cash form.
Related: delta-neutral, gamma-scalping, dealer-gamma, realized-volatility