19 of Medvedev's twenty-one victories have been won on hard courts
A comeback Medvedev secured his initial championship for nearly 30 months with victory over Corentin Moutet in the Almaty Open championship match.
The Russian, a former number one, has had a torrid year, winning just one match at the major tournaments and suffering a difficult moment at the New York tournament.
The player's unpredictability on the professional circuit - and difficulties with his serving in particular - resulted in him dropping out of the top ten and ultimately splitting with long-time coach Cervara.
Now training with Thomas Johansson and Rohan Goetzke, the tennis star has gradually improved in the past month - culminating in a closely contested three-set win over Frenchman Moutet.
It is his maiden championship following the Rome competition and maiden on a hard court from that period of the previous year.
The win also indicates the Russian has won twenty-one titles at 21 different events.
"It's the first time I'm at a tournament with my children together, so to win a title is particularly special," said ranked player the champion.
"This victory is in tribute of my child my daughter, because the maiden victory I won when my child my daughter was delivered was for her."
The tennis star, the former major winner, had lost his previous six finals, featuring in the German tournament earlier this year.
The player's defensive approach and regular outbursts on the tennis court had prompted observers to doubt if his capacity to play at the elite level was concluded.
But the athlete has made changes in recent weeks, attempting to come to the net and perform positively, reinforced by an enhanced service.
Medvedev recovered from a disadvantage in the first set against the challenging opponent, securing four of the concluding five exchanges to go ahead.
Both players traded break points in the middle set before the Frenchman, attempting for his maiden tour championship, took control to push for a decider.
Moutet rescued 4 early-game opportunities in a competitive final set before the champion won the break to 15 to serve for the match.
Fittingly, the winner secured the title with a rally at the net, with the Frenchman failing to control a volley after two hours and 38 minutes.