Every deflected control surface pushes back. The air load on the surface, acting behind the hinge, is a hinge moment the pilot must hold through the control run (the linkage from cockpit to surface), and it grows with deflection and with the square of the airspeed. On a light aircraft at approach speed the forces are pleasant; scale the surface up and the speed up, and unaided human arms lose the fight long before the aircraft reaches transport size. This lesson covers the two answers, in the order history found them: aerodynamic balance (arranging the surface so the air itself cancels part of the hinge moment) and powered controls, with the artificial feel that fully powered systems must add back.
Aerodynamic balance: the purpose
The built-in balances (the horn and the internal balance below) share one idea: put some of the surface's area, or some of the airflow's pressure, ahead of the hinge line, where the air load generates a moment helping the deflection instead of fighting it. (The tabs, covered afterwards, reach the same goal by the opposite route: a small force on a long arm behind the hinge.) The purpose is exactly this: to reduce the hinge moment the pilot must hold (keeping control forces within human limits across the whole speed range) while leaving the surface's effectiveness essentially intact. The balance must stay a minority share: a surface balanced past its own hinge moment would drive itself to full deflection, which is the over-balance every design carefully avoids.
Horn balance
The horn balance is the visible version: at the tip of the surface, a portion of its area, the horn, extends forward of the hinge line, filling a notch cut into the fixed surface ahead of it. Deflect the surface and the horn (rigid with it, but on the other side of the hinge axis) moves the opposite way: trailing edge down, horn up. The air load on the horn, acting ahead of the hinge, produces a moment opposing the main surface's hinge moment, and the pilot holds only the difference. Horn balances are easy to spot on the elevators and rudders of light aircraft.
Internal balance
The internal balance hides the same trick inside the parent surface. The control surface's nose extends forward of the hinge into a bay within the wing or stabiliser, and a flexible seal connects that nose to the structure, dividing the bay into an upper and a lower chamber. Deflect the surface and the pressures on the upper and lower skins near the hinge gap change: the gaps between the parent surface's shrouds and the control's nose vent different pressures into the two chambers, and the pressure difference acts on the balance area ahead of the hinge, pushing it the way the pilot is already pushing. Same relief as a horn, but the balance area never meets the airstream, so it costs no extra drag.