To see a tow truck in your dream represents your burdens and responsibilities. Alternatively, it signifies an aspect of your life where you need a little assistance. You need someone to help "pick" you up and get you on the right track again.
To dream that you are driving a tow truck means that you feel others are overly dependent on you. You are feeling burdened or overwhelmed.
To dream of a tow truck represents decision making or self-control that is focused on assistance or "carrying" other people. A tow truck may reflect a person or situation that helps to keep you on the right track. It may also reflect your own attempt to support someone else through a problem.
To dream of towing someone else may represent other people that are dependent on you to get through difficulties.
To dream that you are towing a vehicle or heavy object suggests that you are overworked and overburdened. You feel that others are not pulling their own weight at work, at home, or in a personal relationship. You also feel that you are giving more than you are receiving.