The invention, in various embodiments, is directed to systems, and devices relating to prepubic approaches to delivering a supportive sling to periurethral tissue of a patient. The sling delivery system comprises a delivery device (300) having a conical tip(304) and a constant outside diameter of less than about 0.63 cm. The shaft (302) extends distably between about 17 and about 23cm. Preferably the system comprises a pusher assembly (330) slidably fifted over the shaft. The sling (102) may include a protective sleeve (104) for covering preferably including a gap (110) exposing a portion of the supportive sling.
