In 1914, his wife, who was pregnant, was having difficulty eating so he adapted a meal of pasta and butter, "pasta al burro", for her. Later, he put the dish on the menu at his restaurant, the "Alfredo alla Scrofa", and called his version Fettuccine Alfredo. Hollywood celebrities Mary Pickford and Douglas Fairbanks visited his restaurant on their honeymoon and eat the dish. When they returned home, they talked often about the dish. This caused the restaurant and the dish to become popular with American tourists.