| Middle Valley to Viterbo | 4,962.10 mi (7,985.74 km) |
| Middle Valley to Vittoria | 5,275.13 mi (8,489.50 km) |
| Middle Valley to Vittorio Veneto | 4,843.68 mi (7,795.15 km) |
| Middle Valley to Vittuone | 4,720.24 mi (7,596.50 km) |
| Middle Valley to Voghera | 4,739.10 mi (7,626.85 km) |
| Middle Valley to Volpago del Montello | 4,843.09 mi (7,794.19 km) |
| Middle Valley to Volpiano | 4,679.72 mi (7,531.28 km) |
| Middle Valley to Volterra | 4,873.53 mi (7,843.18 km) |
| Middle Valley to Volvera | 4,675.66 mi (7,524.74 km) |
| Middle Valley to Zafferana Etnea | 5,272.54 mi (8,485.33 km) |
| Middle Valley to Zagarolo | 5,015.15 mi (8,071.10 km) |
| Middle Valley to Zanica | 4,746.14 mi (7,638.17 km) |
| Middle Valley to Zero Branco | 4,851.59 mi (7,807.88 km) |
| Middle Valley to Zevio | 4,816.14 mi (7,750.83 km) |
| Middle Valley to Zogno | 4,740.17 mi (7,628.57 km) |
