Deploying UUIDv7 certainly requires more thought about the implications. In many cases leaking the creation time of a key is completely fine, in some cases it isn't

An interesting compromise is transforming the UUIDv7 to a UUIDv4 at the API boundary, like e.g. UUIDv47 [1]. On the other hand if you are doing that you can also go with u64 primary keys and transform those

1: https://github.com/stateless-me/uuidv47