Methods and apparatus for implanting a neural stimulation lead in a patients body are described. A lead assembly for minimally invasive implantation of a stimulation lead comprises a pointed-tip stylet, a stimulation lead, and an optional tube to deploy fixation element attached on the lead. One embodiment of the implant methods starts with inserting the pointed-tip lead assembly directly into tissue. The desired implant position is determined by electric stimulation either through stimulation lead or the pointed tip. Afterwards, the pointed-tip component is separated from the stimulation lead and removed from the tissue, leaves the stimulation lead implanted. In one variation, a needle is inserted to identify the optimal stimulation site first, after mark the needle path and position, the needle is removed and a pointed-tip stimulation lead assembly is inserted along the needle path marked. After confirmation of stimulation lead in the right tissue location, the pointed-tip component of the lead assembly is removed from the body and leaves the stimulation lead in place. The stimulation lead can be connected to the neurostimulator to delivery therapies to treat neural disorders, such as urinary control disorders, fecal control disorders, sexual dysfunction, and pelvic pain, etc.