Tutto Italia Ristorante opened on September 1, 2007, replacing Italy's original table service restaurant L’Originale Alfredo di Roma Ristorante  . The new restaurant came about as a result of an operator change in Italy's signature restaurant. Original operator Alfredo the Original of Rome Inc. was replaced with the Patina Restaurant Group . Memo Emec, Disney's regional manager of operating participants, stated that the decision to change management was made in order to modernize the eatery . Another reason however, may have been due to the fact that Alfredo the Original of Rome Inc. had been tasked with creating a second dining location for the Italy pavilion as early as 1983 . By 2008 however, the second restaurant had still not been built. At this time, the Patina Restaurant Group agreed to take over L’Originale Alfredo di Roma Ristorante, under a new name. Furthermore, Patina also agreed to build the second dining location that Disney had been requesting. After the change in ownership, L'Originale Alfredo di Roma Ristorante became Tutto Italia Ristorante .
In 2012, Tutto Italia Ristorante closed for a major three month refurbishment . At this time, not only was the restaurant remodeled, but a conjoining wine cellar called Tutto Gusto also opened . Describing the refurbishment, the Disney Parks Blog noted,
"The makeover gives Tutto Italia a more expansive feel, with covered outdoor seating for 45 with ceiling fans and lighting, and pretty new carpet, dark-wood booths and spacious banquettes replacing some of the tables in the dining room. The lovely wall murals and elegant chandeliers remain." .