19 of the Russian's 21 championships have been achieved on hard courts
A resurgent the Russian player claimed his maiden title for nearly 30 months with a win over Corentin Moutet in the competition title decider.
The athlete, a ex- world number one, has had a torrid period, winning just one win at the big events and undergoing a setback at the American major.
Medvedev's varied form on the professional circuit - and struggles with his serve in particular - led to him falling of the world's top 10 and finally parting ways with long-time coach Cervara.
Now collaborating with Johansson and his other coach, Medvedev has steadily progressed in the last few weeks - peaking in a closely contested three-set win over Frenchman Moutet.
It is his initial trophy following the Rome competition and initial on a hard court after March of the previous year.
Success also indicates he has achieved 21 victories at 21 various tournaments.
"It's the first time I'm at a tournament with my two daughters simultaneously, so to get a title is particularly special," said ranked player the champion.
"This title is in honour of my child my daughter, because the first title I won when my child my daughter was born was for her."
The tennis star, the past champion, had failed in his past six finals, comprising in Halle in the past months.
Medvedev's counter-punching approach and recurring emotional displays on the tennis court had led some to wonder if his ability to perform at the elite level was concluded.
But the athlete has altered his approach in the past month, making an effort to approach the net and compete assertively, supported by an improved service.
The champion fought back from a deficit in the first set against the tricky Moutet, winning 4 of the last five games to take the lead.
The pair exchanged break points in the second set before the challenger, attempting for his first tour victory, gained dominance to push for a third set.
Moutet rescued 4 initial break points in a close third set before Medvedev secured a break to that score to serve for the match.
Appropriately, Medvedev clinched victory with a rally at the net, with the Frenchman failing to control a shot after a lengthy match.
