Getting around long-term
Patente B covers cars and is the one most students need; the A-series covers motorcycles and scooters by engine size, each with its own minimum age. Most first-time applicants go through an autoscuola (driving school), which bundles lessons with both exams; studying independently and just paying to sit the exams (da privatista) is allowed but far less common.
Medical certificate
A visita medica confirming you're fit to drive — the first thing any autoscuola (driving school) will ask for.
Theory exam
Multiple-choice questions on the highway code (the quiz), usually after a course of lessons at the driving school.
Foglio rosa
Your learner's permit once the theory exam is passed — valid six months, and for two attempts at the practical exam.
Practical exam
A driving test with an examiner in the car; pass it within the foglio rosa's window and the licence is issued.
Whether you can drive on it here, or convert it into an Italian one without resitting everything, depends entirely on whether Italy has a reciprocity agreement with your country. That list is limited and changes, so it's worth confirming directly with the Motorizzazione Civile rather than assuming either way — without an agreement, a first Italian licence generally means the full theory and practical exams, same as any new driver.
Budget for several separate costs adding up rather than one bill: the lesson package, the medical certificate, the exam fees for both tests, and a retake fee if either one isn't passed the first time. A full course commonly lands somewhere in the €900–€1,500+ range, but it varies by region and school — treat that as a planning range, not a quote.