Described are implants, systems, kits, and methods, useful for treating fecal incontinence, which may involve surgical implantation of the implant to place a tissue support portion in a location to support, contact, adjust, or approximate, tissue of a region of anal musculature, with extension portions place in a position to support the tissue support portion. Described is a pelvic implant comprising a support portion, two extensions and a self-expanding tip (410).