19 of the Russian's twenty-one championships have been earned on hard surfaces
A revitalized the Russian player won his maiden trophy for nearly 30 months with success over Frenchman Moutet in the Almaty Open title decider.
The Russian, a ex- number one, has had a challenging period, winning just one match at the big events and suffering a meltdown at the US Open.
Medvedev's inconsistency on the professional circuit - and difficulties with his serve in particular - resulted in him dropping out of the world's top 10 and finally splitting with long-term mentor Cervara.
Now training with his coach and Goetzke, he has steadily improved in the recent weeks - culminating in a closely contested competitive win over opponent Moutet.
This represents his maiden championship following the 2023 Rome Masters and initial on a hard court from spring of 2023.
Success also indicates he has achieved twenty-one championships at 21 distinct competitions.
"For the first time I'm at a event with my children simultaneously, so to win a trophy is especially meaningful," stated world number 14 the champion.
"This victory is in honour of my younger daughter Victoria, because the initial championship I got when my child my daughter was born was for her."
Medvedev, the former major winner, had been defeated in his previous six finals, featuring in that event previously this season.
Medvedev's defensive approach and regular reactions on court had led some to doubt if his skill to perform at the highest level was finished.
However the 29-year-old has made changes in recent weeks, striving to advance forward and compete positively, backed up by an better serve.
The champion fought back from a deficit in the first set against the challenging Frenchman, winning four of the last five games to go ahead.
The competitors swapped breaks in the second set before Moutet, attempting for his first professional championship, took control to create a decider.
He saved 4 early-game opportunities in a tight third set before Medvedev won the break to that score to secure the win.
Fittingly, Medvedev secured the title with a rally at the front of the court, with Moutet unable to manage a shot after two hours and 38 minutes.