A surgical system 30 configured to place an anchor 56 in tissue includes an anchor delivery tool 32 having a shaft 36 and an adapter 38 attachable to the shaft. The shaft provides a bore 52 and a length that are sized to retain a plurality of stacked anchors inside of the shaft. A rotatable anchor ejector 54 located inside of the bore of the shaft. The adapter has an segment 60 that is sized to be frictionally fit to an outside diameter of the shaft and a flange 62 that is connected to the segment. When the adapter is attached to the shaft, the flange extends distally beyond a distal end of the shaft.