On 13 May 2001, the same day as the general elections, municipal elections were held in more than 1,000 municipalities, including all the major Italian cities (Rome, Milan, Naples, Turin). Incumbants already re-elected once could not stand because of the two-term limit. This in many cases opened to way for a renewal of mayoralties. This article aims to provide a balanced assessment of the process of direct mayoral elections by using data relating to electoral behaviour, stability and mayoral recruitment inside the 103 Italian provincial capitals (the capoluoghi) to complement an analysis of the reform of 1993. On the basis of the theoretical analysis and the empirical evidence provided, it is argued that the direct election of mayors, and more generally the neo-parliamentary system of government, represents an example of a successful institutional reform.