There are some choices, if it's SMOOTH, no crease it is likely structurally acceptable.... You can go inside and use "PAINTLESS DENT REMOVAL" techniques that they use in car work... This is from inside with tools and it is a SLOW WORKING of metal, a massage, slowly working metal, to get metal to go back to it's "memory" position. There are bond on pull tabs you can use from outside and gently pull on the dent to pull it out. The "PDR glue tabs" are removed with a concentration of isopropyl alcohol directly on glue to loosen. Then you carefully peel tab off. It takes time to get the solvent to penetrate.
Removing panel and DRILLING OUT so many rivets MIGHT make many more issues. From what I see (and may not have all the facts) I would try and get it pushed out. You may want to HIRE a Pro to come to your shop and do it. They have tools to do this....
Then if there is a small wrinkle or wave remaining, yes Sir, FILLER and primer. It will look great. What filler, NOT bond-oh. They have much better light weight fillers, can't recommend anything. I am sure people have some suggestions. Prime and paint it will look good as new. If you want a polished plane, well this option is out I guess. Many RV's have filler when the do the paint job to take out dents.
It has to be structural, and that means no cracks, no crease or sharp edges. That means dent to size ratio 400 to 1 ? So 10 inch wide/long dent, max depth of dent 0.3". I am pulling this out of my hat, may be 200 to 1 is OK. I think if you WORK the dent out slowly (takes time to realign the atoms), by pushing and releasing, pushing and releasing, over and over, never bending in one step, over and over you will straighten it out, if not completely you will make it better, unless it is sharp creased. Watch videos of this process on car bodies. It is wizard stuff. I do understand steel and aluminum are different, but most metals have memory, malleability and ductility. You can bend metal back if you did not crack or crease it... but it's a bit of an art.