The invention relates to, in combination, a pelvic implant, an insertion tool, and a removal tool, the implant comprising a tissue support portion, an elongate extension portion having a proximal end attached to the tissue support portion and a distal end, and a connector associated with the distal end, the connector comprising a connector proximal end and a connector distal end the insertion tool comprising an elongate shaft having a distal end configured to engage the proximal end of the connector, the removal tool comprising a distal end configured to engage the distal end of the connector, wherein the insertion tool and the removal tool are capable of simultaneously engaging the connector.