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You will have to complete the game at least twice in order to unlock UVHM, but once you've gotten there, there's way more content than is necessary. You don't have to do all of it in each mode.
you have to complete the game twice to unlock Ultimate Vault Hunter mode. In UVHM everything scales up to your level.
If you have all the DLC there´s more than enough content you can play to reach max lvl without grinding.
So you have to go through all 3 playthroughs to reach level 72 but happens by simply playing the game.
Yes, you have to do all the main story missions in Normal to unlock TVHM, you have to do all the main story missions in TVHM to unlock UVHM.
Work?
Basically get out of the train that leads to lynchwood, kill him, go back to main menu and do it again by pressing continue. Decent EXP, fast and you also get to try your luck at getting the Slagga legendary.
I could go on, but bottom line: As a first time UVHM player, worry about keeping your gear in good shape. There are many ways to do this. Trust me, UVHM is where the real game begins.
With good gear, sound tactics, and sound build, UVHM will be fun. Missing any one, you might quit. Example: a no chaos elemental Gaige can rock normal. Not so much on UVHM.
If it's not your first character, you may be able to use some of your old stuff, but not all of it (different class, different needs).
So, basically, you do not have to, but you may want to. Also, he said the game really begins in UVHM, I'd say it really begins once you reach level 72, with overpower. Because you are stronger than ever, the game is harder than ever... This is awesome.