The present disclosure describes implantable slings suitable for use in a variety of medical applications, the implantable slings include at least one a biocompatible support member having a first surface and a second surface, the first and second surfaces including a first end, a second end, and a central region positioned therebetween, a first set of fixation elements positioned on the first end of the first surface, a second set of fixation elements positioned on the second end of the first surface, and a spacer positioned on the central region of the first surface for contacting a tissue in need of support.