About UUID as Primary Key and performance, the following article has some insights and benchmarks as well: https://www.2ndquadrant.com/en/blog/sequential-uuid-generato...
Essentially, they observed sizeable performance improvements by using UUID generators that are tweaked to get more sequentia resultsl. It results in better indexes. The articles compares sequences, random UUIDs and 2 kinds of sequentialish UUID generators.
I use a ulid[1] as a uuidv4 replacement: