Implant systems can include one or more needles, such as those used in pelvic floor repair procedures, and one or more elongate implants. A syringe or similar style hollow needle can be used to deliver the elongate mesh or other implant devices through one or more small stab incisions into the target tissue location inside the pelvis, proximate the vagina. The implant devices can be placed upon insertion through the incisions to engage and pull or tighten support tissue, such as the endopelvic fascia, pubocervical fascia, rectovaginal fascia, levator muscles, or other supportive muscles or tissue within the pelvis of the patient.