By creating the apex of power, Putin sought to make Russia a hierarchical state at home and a unitary actor abroad. Medvedev’s initiatives focused on managing and strengthening Putin’s policies rather than changing them. This paper aims to outline the continuity of the apex of power under Medvedev. He introduced some changes in the governors’ appointment system, created a new Federal District and expanded the scope of the apex of power from the level of regions and governors to that of cities and mayors. At the end of the Medvedev presidency, with Putin announcing his return to the Kremlin in 2012, the apex of power is a key and stable feature of the Russian political structure. Nonetheless it is in constant evolution and may need a new basis for legitimacy other than the claim of political stability. This active continuity from Putin to Medvedev reasonably affects the way the international policy communities should conceive their approach to Russia.