As a general rule, Italians add add Romaine lettuce to salads, either Insalata Verde, tossed green salads, or to insalate miste, green salads with tomatoes, carrots, raddishes and similar, in either case dressed with olive oil, vinegar, and salt (no pepper, usually).
Romaine lettuce can also be cooked, rather like radicchio, and because of the shape of the leaves is well suited for making wraps.
Romaine Lattuce Elsewhere on About:
Blue Cheese with Grilled Romaine
Pomegranate Romaine Salad
Avocado and Romaine Salad
Romaine Lettuce Nutritional Information