The result of this is that in a 'standard' DB tubeset (with a ~1" top tube) the wall thickness is often about 0.5mm in the centre and about 0.8mm at the ends. If the tubeset has lightweight and/or oversize pretensions, it can be 0.4mm or even 0.3mm. Such tubes dent easily.
In practice dents in the top tube often look terrible but need to be pretty bad before they are likely to actually be a real structural problem; the service stresses in the middle of the top tube are not usually particularly severe. For example I rode one frame (complete with a nasty-looking dent in the top tube) for nearly twenty years before I finally conceded that the frame probably wasn't going to crack after all (having been substantially retracked etc) and only then did I bother to do anything about the top tube dent. I only bothered to do anything about it at all because the dent just looked awful; I could see it when I was riding the bike too, so the thing was never quite out of sight and out of mind.
Of course as soon as I had fixed it (you genuinely can't tell it was ever dented now) I wondered why I hadn't fixed it before then, and the answer is of course that I was worried I might waste my time or perhaps even make it worse. I wouldn't be the first person who had started with a fairly small problem and wound up with a much larger one;

Father Ted started with 'just a small dent' too....
You will read of 'rolling dents out', using 'tube blocks' and such like. Having fixed about half a dozen frames with dents in the top tube now, I don't think you need fancy equipment; once you have leapt the mental hurdle so that you actually start, you then mostly need simple equipment, combined with a little skill and patience. The standard I work to is to get the tube round and straight to within a tolerance that is comparable to the tube wall thickness. The damaged area is then of practically no concern (structurally speaking) and susceptible to being painted with a few more coats of primer than normal, then rubbed down until flat. If the frame is being professionally refinished they may do likewise, or (with small but deep dents in particular) they may offer to fill the dent with braze metal instead/as well. Filling with braze metal is rarely costly and I guess the worst case is that the top tube is so damaged it needs to be replaced, which is usually about a £100 job.
So the 'cost of repair' might (if the frame is painted in a colour you can touch up) vary from practically zero (your time and some paint locally) to at worst, a tube replacement, and a professional respray. If you are going for a respray anyway, filling might cost £15-20 extra and worst case a tube replacement is going to add about £100 to the bill. In any event if you are going to repaint the frame anyway, the consequences of 'having a go at fixing it' vary from 'costing nothing' (if it works as well as hoped) through 'filling with braze' if the dent is still there but large, to 'new tube required' which is the worst case. So you don't have 'nothing to lose by trying' but if the dent is bad enough you probably won't enjoy riding the bike in its dented state either; if so, you may as well try and do something...?
I have occasionally 'taken a punt' on a dented frame, in anticipation that I would probably be able to fix a dent. A few months ago I bought a bike which had been recently dented, with this in mind.
Below there are some before and after photos;
The top tube on this frame is a non-standard 29.0mm dia Nivachrom tube. As measured the tube is around 29.1 to 29.2mm dia (with the paint on) but where it was dented it was effectively 'D' shaped and it measured (at worst) +2.0mm and -2.3mm on diameter. The dent was sufficiently bad that the tube was no longer quite straight when viewed from above, either.
After about an hour's worth of the usual treatment (during which more paint came off, obviously) I got this result;
The tube diameter now measures (at worst) ~+0.2mm and ~-0.7mm. This is (for me) 'within tolerance', so I'll probably quit while I'm ahead. The frame probably needed a respray anyway, but I may just do a partial respray for now ( eg on the main tubes in a contrasting colour or something).
If I'd bought tube blocks before now I'd have wasted my money twice over; not only were they not necessary but they wouldn't have fitted this size of tube anyway.
The dent shown above is probably the worst one I have tackled to date. Needless to say I heaved a sigh of relief when I realised I might get away with it.
Anyone else 'had a go'...?
cheers