A pelvic implant system to tension the lateral urethral support tissue of a patient, comprising: at least one implant device having; a leading end portion, a trailing end portion, and an extension portion extending between the leading end and trailing end portions; a first anchor portion provided at the leading end portion of the at least one implant device and adapted to penetrate at least a portion of lateral urethral support tissue of the patient on a side of the patient; a second anchor portion provided at the trailing end portion of the at least one implant device and adapted to penetrate a portion of the endopelvic fascia of the patient on the same side of the patient, such that the tissue can be tensioned to generally place the tissue in a correct anatomical position and the at least one implant device does not directly contact or extend below the urethra of the patient; and an introducer device adapted to engage the first anchor portion to insert and deploy the at least one implant device within the patient, wherein the first anchor is a fixating anchor having one or more extending barbs, and wherein the second anchor is a bulk anchor adapted to abut against one side of the endopelvic fascia to limit movement of the trailing end and to facilitate tissue tension. at least one implant device having; a leading end portion, a trailing end portion, and an extension portion extending between the leading end and trailing end portions; a first anchor portion provided at the leading end portion of the at least one implant device and adapted to penetrate at least a portion of lateral urethral support tissue of the patient on a side of the patient; a second anchor portion provided at the trailing end portion of the at least one implant device and adapted to penetrate a portion of the endopelvic fascia of the patient on the same side of the patient, such that the tissue can be tensioned to generally place the tissue in a correct anatomical position and the at least one implant device does not directly contact or extend below the urethra of the patient; and a leading end portion, a trailing end portion, and an extension portion extending between the leading end and trailing end portions; a first anchor portion provided at the leading end portion of the at least one implant device and adapted to penetrate at least a portion of lateral urethral support tissue of the patient on a side of the patient; a second anchor portion provided at the trailing end portion of the at least one implant device and adapted to penetrate a portion of the endopelvic fascia of the patient on the same side of the patient, such that the tissue can be tensioned to generally place the tissue in a correct anatomical position and the at least one implant device does not directly contact or extend below the urethra of the patient; and an introducer device adapted to engage the first anchor portion to insert and deploy the at least one implant device within the patient, wherein the first anchor is a fixating anchor having one or more extending barbs, and wherein the second anchor is a bulk anchor adapted to abut against one side of the endopelvic fascia to limit movement of the trailing end and to facilitate tissue tension.