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By Michael San Filippo. The origins of Italian surnames vary. Many are derived from the names of people, places, professions, or nicknames, and most originated in the Middle Ages, when the practice largely started.Frequently, the geographical origin of a person can be deduced from his last name, since certain endings are characteristic of certain regions.any are derived from the names of people, places, professions, or nicknames, and most originated in the Middle Ages, when the practice largely started. Frequently, the geographical origin of a person can be deduced from his last name, since certain endings are characteristic of certain regions.
This may indicate a place of origin for your ancestor. 1  Surname maps for Italy; and most common surnames in Italy. ( Italian} La mappa dei cognomi - Italian surname distribution maps may be generated by typing a last name into the search box in the upper left of the screen labeled Cognome then click the red arrow.