Here, we test the hypothesis that the cortical thickness of vmPFC regions is associated with how well healthy humans retain their extinction memory a day after having been conditioned and then extinguished. Fourteen participants underwent a 2-day fear conditioning and extinction protocol. The conditioned stimuli (CSs) were pictures of virtual lights, and the unconditioned stimulus (US) was an electric shock. On day 1, participants received 5 CS؉US pairings (conditioning), followed by 10 CS trials with no US (extinction). On day 2, the CS was presented alone to test for extinction memory. Skin conductance response (SCR) was the behavioral index of conditioning and extinction. Participants underwent MRI scans to obtain structural images, from which cortical thickness was measured. We performed a vertexbased analysis across the entire cortical surface and a region-ofinterest analysis of a priori hypothesized territories to measure cortical thickness and map correlations between this measure and SCR. We found significant, direct correlation between thickness of the vmPFC, specifically medial orbitofrontal cortex, and extinction retention. That is, thicker medial orbitofrontal cortex was associated with lower SCR to the conditioned stimulus during extinction recall (i.e., greater extinction memory). These results suggest that the size of the vmPFC might explain individual differences in the ability to modulate fear among humans.cortical thickness ͉ fear conditioning ͉ orbitofrontal cortex E xtinction of conditioned fear is of substantial basic and clinical neuroscientific interest. To describe posttraumatic stress disorder (PTSD), the Diagnostic and Statistical Manual of Mental Disorders (1) gives the example of a woman who is raped in an elevator and subsequently comes to fear all elevators. Recovery from PTSD entails, among other things, learning not to fear situations associated with the traumatic event (i.e., to extinguish conditioned fear responses) (2). It has been reported that 2 weeks after a rape, 92% of victims met symptom criteria for PTSD, but 3 months later only 47% did (3). Such individual differences in recovery from PTSD are likely related to genetically influenced individual differences in fear extinction and its retention (4). It is quite possible that these differences are mediated by variance in regional brain structures.Under a Pavlovian (classical) conditioning model, a onceneutral conditioned stimulus (CS) (e.g., a light) is paired with an aversive unconditioned stimulus (US) (e.g., a shock). After a few pairings, the CS comes to elicit various manifestations of a fear conditioned response, including freezing in rodents (5) and increased skin conductance in humans (6). When the CS is then repeatedly presented in the absence of the shock, the conditioned response is extinguished. There is substantial evidence indicating that fear extinction results in the formation of a new memory that coexists with, but opposes, the initial conditioning memory (7,8). Under favorable circumstances, the extinctio...