 In the early 1990s Tutino decided to turn to the artistic directorships of Italian musical institutions.From 1991 to 1994 he programmed for the Pomeriggi Musicali chamber orchestra in Milan, afterwards was invited as composer-in-residence at Arena di Verona, then became artistic director of Teatro Regio di Torino, and since 2006, he is doubling as general and artistic manager of Teatro Comunale di Bologna.Tutino's opera "La ciociara", based on Alberto Moravia's novel depicting victims of the mass rapes in Ciociaria following the Battle of Monte Cassino, was given its premiere at San Francisco Opera on 13 June 2015.