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In this work, we establish the optimal regularity for solutions to the fully nonlinear thin obstacle problem. In particular, we show the existence of an optimal exponent αF such that u is C1,αF on either side of the obstacle. In order to do that, we prove the uniqueness of blow-ups at regular points, as well as an expansion for the solution there. Finally, we also prove that if the operator is rotationally invariant, then αF ≥½and the solution is alwaysC1,1/2 .