"Direct repair" means having the vehicle repaired in an authorized repair center of the Unipol group network, contacting professionals present throughout Italy. A further advantage is no need to advance money, because the insurance company will pay the repairer directly. For the TPL guarantee you can choose in the policy whether to undertake direct repair, with an important discount on the premium, or not.
Other MOD guarantees, on the other hand, are all offered only with the Direct Repair option.