[Unitary transformation]?s are one kind of basic operation which can be performed on qubits. A two-dimensional unitary transformation transforms a pure qubit state into another.
Measurements? are another basic operation in which knowledge is gained about the state of the qubit. With probability proportional to |a|2, the result of the measurement will be 0 and with probability proportional to |b|2, it will be 1. Unless the qubit is in either one of the basis states, there is no way to know in advance what the result will be.
Pure qubit states are contrasted to [mixed qubit state]?s, which are a probabilistic mixture of pure states.