Azzam began his career in Italy in the late 1950s, with his band, singing in Italian and in English. In 1960, he released two songs in France that were influenced by oriental music, "Ya Mustafa" ("Chérie je t'aime, chérie je t'adore, como la salsa de pomodoro") and "Fais-moi du couscous, chérie". The same year, he received the Grand Prix du Disque for the song "Viens à Juan les Pins".