It was dug up and restored in the late 1580s, and by the order of Pope Sixtus V was topped with a Christian cross and installed in its present location near the Lateran Palace.

Thutmose III's grandson, Thutmose IV (1400–1390 BC) finished the obelisks and had them erected to the east of the great temple of Amun in Karnak.map Now His Majesty completed the very great sole obelisk from what his ancestor the King of Upper and Lower Egypt Menkheperre (Thutmose III) brought after His Majesty found this obelisk having lain for a total of 35 years on its side in the possession of the craftsmen on the south side of Karnak.

[4] It contained a narrative of Constantius' transport, raising, and dedication of "his father's" obelisk inscribed on its four sides as a long epigram.

Its location was formerly the spot where the equestrian statue of Marcus Aurelius stood until 1538, when it was relocated to decorate the Piazza del Campidoglio on Capitoline Hill.

The obelisk was topped with a cross and the pedestal was decorated with inscriptions explaining its Egyptian history and its travels to Alexandria and Rome, mentioning the baptism of Constantine the Great.