How can you pass a variable by reference?

You can pass a variable by reference in PHP by using the & symbol before the variable name in both the function declaration and the function call. This allows changes made to the parameter inside the function to reflect in the original variable outside the function. For example, you can define a function modifyValue(&$var) that takes a variable by reference and modifies its value. To pass a variable by reference, you can call the function as modifyValue(&$myVar). It's important to note that passing variables by reference should be used with caution, as it can lead to unexpected side effects and make the code harder to maintain. It's recommended to use references sparingly and only when necessary.