This was written based on working on several Postgres databases at different companies of “medium” size as a consultant, that had excessive IO and latency and used UUID v4 PKs/FKs. They’re definitely out there. We could transform the schema for some key tables as a demonstration with big int equivalents and show the IO latency reduction. With that said, the real world PK data type migration is costly but becomes a business decision of whether to do or not.