We present PDLP, a practical first-order method for linear programming (LP) that can solve to the high levels of accuracy that are expected in traditional LP applications. In addition, it can scale to very large problems because its core operation is matrix-vector multiplications. PDLP is derived by applying the primal-dual hybrid gradient (PDHG) method, popularized by Chambolle and Pock (2011), to a saddle-point formulation of LP. PDLP enhances PDHG for LP by combining several new techniques with older tricks from the literature; the enhancements include diagonal preconditioning, presolving, adaptive step sizes, and adaptive restarting. PDLP improves the state of the art for first-order methods applied to LP. We compare PDLP with SCS, an ADMM-based solver, on a set of 383 LP instances derived from MIPLIB 2017. With a target of 10^(-8) relative accuracy and 1 hour time limit, PDLP achieves a 6.3x reduction in the geometric mean of solve times and a 4.6x reduction in the number of instances unsolved (from 227 to 49). Furthermore, we highlight standard benchmark instances and a large-scale application (PageRank) where our open-source prototype of PDLP, written in Julia, outperforms a commercial LP solver.