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In medieval times, the concierge was an officer of the King who was charged with executing justice, with the help of his bailiffs.

In 19th century and early 20th century apartment buildings, particularly in Paris, the concierge, often a middle-aged lady, had a small apartment on the ground floor and was able to monitor all comings and goings. However, such settings are now extremely rare; most concierges in small or middle-sized buildings have been replaced by the part-time services of janitors. These are less costly and less intrusive.

Some larger apartment buildings or groups of buildings retain the use of a concierge, without the traditional disposition whereas the concierge saw all comings and goings. The concierge may, for instance, keep the mail of absented dwellers; be entrusted with the keys of apartments in cases of emergencies in the absence of the inhabitant; and other services.

In hotels and certain other facilities in the United States, a concierge assists guests with various tasks like finding taxicabs, restaurants, and interesting places to visit.