#$%^&*AU2015202745B220160107.pdf#####Abstract: 2015202745 Described are apparatus and methods for treating pelvic conditions by use of a pelvic implant to support pelvic tissue, creating an incision on a first side of a patient that allows access to a region of the levator avulsion, providing a pelvic implant comprising a tissue support portion comprising a first end and a second end, and a tissue fastener disposed on the first end; connecting the tissue fastener to a delivery tool; passing the tissue fastener and at least a portion of the tissue support portion through the incision on the first side of the patient; placing the pelvic implant at a position to support levator tissue at a region of the levator avulsion; securing the tissue fastener to supportive tissue of the pelvic region; and placing a support backer member on the second end to apply tension to the tissue support portion to treat the levator avulsion.