This option enables OCSP stapling, as defined by the "Certificate Status Request" TLS extension specified in RFC 6066. If enabled (and requested by the client), mod_ssl will include an OCSP response for its own certificate in the TLS handshake. Configuring an SSLStaplingCache is a prerequisite for enabling OCSP stapling.

OCSP stapling relieves the client of querying the OCSP responder on its own, but it should be noted that with the RFC 6066 specification, the server's CertificateStatus reply may only include an OCSP response for a single cert. For server certificates with intermediate CA certificates in their chain (the typical case nowadays), stapling in its current implementation therefore only partially achieves the stated goal of "saving roundtrips and resources" - see also RFC 6961 (TLS Multiple Certificate Status Extension).

When OCSP stapling is enabled, the ssl-stapling mutex is used to control access to the OCSP stapling cache in order to prevent corruption, and the sss-stapling-refresh mutex is used to control refreshes of OCSP responses. These mutexes can be configured using the Mutex directive.