A combination comprising a pelvic implant assembly (100)and an insertion tool (160), the implant comprising a support portion (128) and an extension portion (124), a self-fixating tip (120) connected to the extension portion, the self-fixating tip comprising a base (130) comprising a proximal base end (134) and a distal base end (132), the proximal base end being connected to the extension portion, the base comprising an internal channel extending from the proximal base end at least partially along a length of the base toward the distal base end, a fixed lateral extension (136) extending from the base, and the insertion tool comprising a handle (161) and a needle (162) extending from the handle, the needle comprising a proximal end attached to the handle and a distal end, the distal end comprising a tip that engages the self-fixating tip.