This document summarizes internet peering in Italy, including: - The major internet exchanges are MIX-IT in Milan, NAMEX in Rome, and TOP-IX in Turin, handling a total of around 250Gbps of traffic. - Private interconnections predominantly occur in datacenters in Milan, especially the Avalon room. - The largest access networks, including Telecom Italia, Wind, Fastweb, and Vodafone, control over 90% of the fixed line access market. - In 2013, Telecom Italia largely withdrew from settlement-free peering with other Italian networks, negatively impacting connectivity for their customers.