The invention provides a pelvic implant useful to treat a condition of urinary incontinence, the implant comprising a tissue support portion, a first extension portion, a first adjusting mechanism comprising a first line extending between the tissue support portion and the first extension portion, the first line being capable of being tightened to adjust a distance between the first extension portion and the tissue support portion, a first line holder that engages the first line and is capable of maintaining an adjusted distance between the first extension portion and the tissue support portion, and a first tether, and a self-fixating tip at a distal end of the first extension portion, wherein pulling the first tether in a proximal direction causes the distance between the first extension portion and the support portion to be reduced.
