19 of the Russian's 21 championships have been earned on hard courts
A resurgent the Russian player won his initial title for nearly 30 months with success over Corentin Moutet in the tournament championship match.
The Russian, a ex- number one, has experienced a challenging year, managing just a single victory at the Grand Slams and experiencing a setback at the US Open.
The player's varied form on the tennis tour - and difficulties with his serve in especial - caused him falling of the top ten and finally splitting with long-term coach Cervara.
Presently training with Thomas Johansson and Goetzke, Medvedev has steadily improved in the last few weeks - culminating in a hard-fought three-set win over opponent Moutet.
This represents Medvedev's initial trophy after the Italian tournament and initial on a hard court from spring of that year.
Victory also signifies he has secured twenty-one victories at twenty-one different events.
"This marks the first occasion I have attended a event with my children simultaneously, so to secure a championship is especially meaningful," said world number 14 the champion.
"This title is in tribute of my younger daughter Victoria, because the initial championship I achieved when my older daughter her name was born was for her."
Medvedev, the 2021 US Open champion, had been defeated in his last six championship matches, including in Halle previously this season.
Medvedev's counter-punching approach and frequent reactions on court had prompted commentators to doubt if his ability to play at the top level was finished.
However the player has implemented adjustments in recent weeks, making an effort to approach the net and compete assertively, backed up by an enhanced serve.
He came back from a break down in the first set against the challenging Moutet, winning four of the final five games to go ahead.
Both players swapped break points in the second set before Moutet, bidding for his first tour victory, took control to create a third set.
The opponent defended 4 initial opportunities in a competitive deciding set before Medvedev broke to fifteen to serve for the match.
Suitably, Medvedev clinched victory with a shot at the net, with the Frenchman incapable to handle a volley after a lengthy match.