AWS recommends using Amazon ElastiCache as an in-memory caching layer in front of relational databases such as Amazon RDS to offload read traffic and significantly improve performance for read-heavy workloads. ElastiCache (Redis OSS) provides microsecond latency and can cache the results of frequent or expensive queries without requiring any change to the underlying database schema or engine. This directly addresses the requirement to improve performance without changing the database structure and with minimal operational overhead, because ElastiCache is a fully managed service (patching, failure detection, replacement, etc., are handled by AWS).

Option A (DynamoDB) would require a full data migration and application changes, including schema and query rewrites.

Option C (Memcached on EC2) introduces additional management overhead for EC2 instances (scaling, patching, HA).

Option D (DAX) is a caching layer only for DynamoDB and cannot be used directly with Amazon RDS.