PPT was PowerPoint's format through PowerPoint 2003, and PPTX took over from PowerPoint 2007 onward — the same year, and the same underlying structural shift, as DOC to DOCX and XLS to XLSX. For presentations specifically, that shift shows up most noticeably in file size and how embedded media gets handled.
PPT: the older binary format
PPT stores presentation data — slides, text, embedded images and video, animations — in a proprietary binary structure specific to older PowerPoint versions. It works, but it's less efficient about embedded media in particular, which matters a lot for presentations, since slides often carry images, video clips, and audio that make up the bulk of the file's actual size.
PPTX: XML-based, and notably better with media
PPTX, built on the same OOXML structure as DOCX and XLSX, is a zipped bundle of XML files plus embedded media assets. Beyond the more open, documented structure, PPTX handles embedded images and video considerably more efficiently than PPT did, which tends to produce meaningfully smaller files for a media-heavy presentation — exactly the kind of presentation where file size differences add up fastest, since a deck full of photos and video clips can otherwise balloon in size very quickly.
Why this matters more for presentations than for documents
A typical Word document is mostly text, so the DOC-to-DOCX efficiency gain, while real, is usually modest in absolute terms. A typical presentation, by contrast, is often built substantially around images and sometimes video or audio, so PPTX's improved media handling produces a proportionally much bigger file size difference versus the old PPT format — this is where the format change actually pays off most visibly in practice.
Compatibility and feature differences
Modern PowerPoint opens both formats without trouble, but as with DOC and XLS, some newer PowerPoint features and certain non-Microsoft presentation software work more reliably with PPTX's documented structure than with PPT's older proprietary layout. If a presentation needs to open reliably across different software or needs newer PowerPoint features (certain modern transition types, some newer chart types), PPTX is the safer target format.
Should you convert an old PPT file?
For a presentation you're actively updating or reusing, converting to PPTX (open in modern PowerPoint, save in the new format) is generally worth doing, particularly if the deck carries a meaningful amount of embedded media, where the file size improvement will be most noticeable. For an old archived deck you won't touch again, there's no pressing need — but the moment you're editing, adding media, or sharing it more broadly, PPTX is the better target.
Once a presentation is finished and ready to share as a fixed, non-editable file — for distribution, printing, or attaching to an email where you don't want the layout to shift — PowerPoint to PDF handles that conversion directly from either PPT or PPTX.