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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.
The common Italian surnames Risso and Russo, for example, both have the same meaning, but one is more prevalent in northern Italy, while the other generally traces its roots to the southern part of the country.