The main reason for primary and foreign keys is to enforce data consistency.
A primary key enforces the consistency of uniqueness of values over one or more columns. If an ID column has a primary key then it is impossible to have two rows with the same ID value. Without that primary key, many rows could have the same ID value and you wouldn't be able to distinguish between them based on the ID value alone.
A foreign key enforces the consistency of data that points elsewhere. It ensures that the data which is pointed to actually exists. In a typical parent-child relationship, a foreign key ensures that every child always points at a parent and that the parent actually exists. Without the foreign key you could have "orphaned" children that point at a parent that doesn't exist.