Fly fishing in Italy is growing in popularity. Unfortunately, it is still mainly a sport for those who are well heeled. Fishing in general is popular, but the use of the fly rod is mainly for those with money. Many Italians who fish for trout with the fly rod actually find it cheaper to fish in the USA or Canada than in Italy. My Italian customers have told me that there are some great places to fish for trout in the Italian Alps and the Dolomite regions, but the daily fees are extraordinarily high. Still, they take the sport seriously and treat it almost as an art. This is reflected in the attention they pay to fly patterns. Check out the sites below and you'll see what I mean.
Pagina Italiana di Pesca a Mosca