The overflow skimmer box "skims" water off the top of the aquarium. By pulling the water from the surface, you prevent the natural formation of a protein film on the surface of the water. It forms by the accumulation of organic materials and protein-based wastes in the tank, which are "surface active," meaning they are attracted to the surface of the water. This protein film can be harmful to your fish because it prevents proper gas exchange, effectively reducing the amount of oxygen in the water.