There are guys who tweak, etc and some who really tune. The know how often associated with tuning varies depending on what the smith knows. Yes some guys just stone a few things and put in stronger springs. I knew a gunsmith from Bucks County PA, who tuned cartridge revolvers for sillywet shooters. There was far more to what he did than just a little stoning and springs. He had me shooting a bull barrel single action 44 mag and hitting claybirds at 100yds. The gun was the smoothest piece of machinery I have ever handled. What a particular gun needs varies from gun to gun and between manufacturers.
I can't afford the type of tuning that man did. But I got to shoot two of his customers' guns. I can say they were far smoother than any other gun I ever handled.