Nineteen of Medvedev's twenty-one championships have been won on hardcourt
A comeback Medvedev won his initial title for 882 days with victory over Corentin Moutet in the competition championship match.
Medvedev, a former world number one, has experienced a difficult year, achieving just one win at the Grand Slams and suffering a setback at the New York tournament.
The player's unpredictability on the ATP Tour - and difficulties with his serving in specific - caused him dropping out of the world's top 10 and finally splitting with long-time coach Gilles Cervara.
Now working with his coach and Goetzke, the tennis star has steadily improved in the past month - culminating in a tightly fought 7-5 4-6 6-3 triumph over opponent Moutet.
It is his maiden trophy following the Rome competition and first on a hard surface after March of the previous year.
The win also means the Russian has achieved twenty-one titles at 21 distinct tournaments.
"For the first time I am participating in a competition with my both daughters together, so to get a trophy is especially meaningful," stated world number 14 Medvedev.
"This title is in tribute of my second daughter her name, because the first title I got when my older daughter my daughter was born was for her."
The tennis star, the 2021 US Open champion, had lost his past six finals, comprising in that event in the past months.
His retrieving play style and frequent reactions on court had led commentators to wonder if his skill to perform at the top level was over.
But the player has implemented adjustments in recent weeks, striving to approach the net and compete aggressively, backed up by an better serving game.
The champion came back from a disadvantage in the initial set against the tricky Moutet, taking four of the concluding five points to go ahead.
Both players traded service breaks in the second set before the Frenchman, striving for his first professional championship, gained dominance to force a decider.
Moutet rescued four initial break points in a tight final set before Medvedev broke to that score to close out the victory.
Suitably, the winner secured the win with a rally at the front of the court, with Moutet failing to manage a shot after over two and a half hours.
