Nineteen of Medvedev's 21 victories have been earned on hardcourt
A comeback the Russian player won his initial title for nearly 30 months with success over Corentin Moutet in the Almaty Open championship match.
The Russian, a former top-ranked player, has experienced a torrid year, winning just one win at the major tournaments and suffering a meltdown at the US Open.
His unpredictability on the tennis tour - and issues with his service game in especial - caused him dropping out of the world's top 10 and ultimately separating with long-time mentor Cervara.
Currently training with Thomas Johansson and Rohan Goetzke, the tennis star has steadily advanced in the recent weeks - climaxing in a hard-fought three-set win over Frenchman Moutet.
This represents Medvedev's initial trophy following the Rome competition and initial on a hard surface from that period of 2023.
Success also means he has secured 21 titles at twenty-one distinct competitions.
"It's the first time I am participating in a tournament with my both daughters at once, so to win a championship is particularly special," said world number 14 Medvedev.
"This championship is in honour of my child her name, because the initial championship I got when my first daughter my daughter was delivered was for her."
Medvedev, the past champion, had been defeated in his last six finals, comprising in Halle previously this season.
The player's defensive strategy and recurring reactions on the playing surface had caused some to doubt if his ability to perform at the top level was over.
Yet the athlete has implemented adjustments in the past month, making an effort to approach the net and play positively, reinforced by an improved serve.
Medvedev fought back from a disadvantage in the opening set against the difficult Moutet, taking 4 of the last five exchanges to take the lead.
The competitors swapped break points in the second set before the Frenchman, striving for his maiden professional championship, took control to create a decider.
The opponent saved 4 early break points in a close third set before the champion won the break to 15 to serve for the match.
Fittingly, he clinched the win with a rally at the net, with the Frenchman failing to control a volley after two hours and 38 minutes.