Massimiliano first appears in the U.S. registration record in 1977. Its popularity climbed over the following decades. In 2016, 23 babies received the name (ranked #4421). Today it sits well outside the top 1,000 (around #6265), with roughly 15 babies named Massimiliano each year. Massimiliano has been declining in recent years. In total, around 339 babies have been registered with this name since 1880.