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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.
20 Top Surnames in Italy. According to an article in http://italian.about.com/od/italianculture/a/aa111704a.htm, written by Michael San Filippo, the top 20 surnames in Italy appear below. I have also included the meaning for each as well as alternate spellings. Russo and Rossi seem to be the most common.