Alderisio was brought in the Outfit by his alleged cousin Louie Fratto. Later he and his long time companion Nicoletti served to Battaglia and Giancana untill the mid 1960's. When Battaglia became boss, Alderisio was his second in command. He had operations all around Chicago, including Melrose Park, Cicero, the North Side, etc. and was also a liaison between the Chicago Outfit and the Milwaukee mob.

Battaglia had control over Alderisio, Marshall Caifano, Chuck Nicoletti,Rocco Pranno and maybe Willie Daddano. Battaglia's crew was like a seperate Outfit. Besides being the boss, Battaglia also had his own crew, same as Alderisio, Daddano and Pranno. For example, Alderisio had control over Albert Frabotta, Leonard Gianola, Irwin Weiner,Leo Rugendorf. When Battaglia and some of the guys went to jail, Alderisio took charge of whats left of the group.