After the couple moved to Moscow, Medvedeva directed several Russian-Italian initiatives, Sister cities Milan – Saint Petersburg and Venice – Saint Petersburg, which intended to develop tourism between these cities.
Setelah pasangan tersebut berpindah ke Moskow, Medvedeva mendireksikan beberapa hubungan Rusia-Italia Kota bersaudara Milan – Saint Petersburg dan Vinisia – Saint Petersburg untuk mengembangkan pariwisata antara kota-kota tersebut.