Cat-back (also cat back and catback) refers to the portion of the exhaust system from the outlet of the catalytic converter to the final vent to open air. This generally includes the pipe from the converter to the muffler, the muffler, and the final length of pipe to open air.
Cat-back exhaust systems generally use larger diameter pipe than the stock system. Good systems will have mandrel-bent turns that allow the exhaust gases to exit with as little back pressure as possible. The mufflers included in these kits are often glasspacks, to reduce back pressure. If the system is engineered more for show than functionality, it may be tuned to enhance the lower sounds that are lacking from high-RPM low-displacement engines.