Using ListView.builder in Flutter helps keep your app smooth by creating only the visible list items plus a few extra for scrolling. This means your app can maintain a steady 60 frames per second (fps) on most devices, avoiding janky or slow scrolling. It also uses less memory because it doesn't build all list items at once, which is important for devices with limited RAM.
However, if your item builder function is complex or slow, it can still cause frame drops. Also, very long lists can increase memory usage if items are cached aggressively.