Implementations described and claimed herein provide apparatuses, systems, and methods for paddle lead implantation. In one implementation, a delivery tool for paddle lead implantation includes a hub having a handle port and an insertion port. A handle is engaged to the handle port of the hub and extends proximally from the hub. A sheath extends distally from the hub. The sheath includes a lumen extending through an elongated body from a proximal end to a distal tip. The insertion port includes a port surface configured to collapse a paddle lead for passage into the lumen of the sheath.