To the best of our knowledge, at the present time there is no answer to the fundamental question stated in the title that provides a complete and satisfactory physical description of the structured nature of Hermite-Gauss beams. The purpose of this manuscript is to provide proper answers supported by a rigorous mathematical-physics framework that is physically consistent with the observed propagation of these beams under different circumstances. In the process we identify that the paraxial approximation introduces spurious effects in the solutions that are unphysical. By removing them and using the property of self-healing, that is characteristic to structured beams, we demonstrate that Hermite-Gaussian beams are constituted by the superposition of four traveling waves.