A combination comprising a pelvic implant and insertion tool, the implant comprising a support portion, an extension portion, and a self-fixating tip (10, 100, 154, 174) fixedly connected to an end of the extension portion, the self-fixating tip comprising a base (12, 101) comprising a proximal base end and a distal base end, the proximal base end being connected to the extension portion, and a lateral extension (20, 102, 103) extending from the base along a length of the base between the proximal base end and the distal base end, the lateral extension comprising a trailing surface (26, 104, 105, 158, 178) extending between the base and a tip of the lateral extension spaced from the base, the insertion tool comprising a handle, a needle (126, 170) extending from the handle, the needle comprising a shaft comprising a proximal end attached to the handle and a distal end that includes a needle tip (80, 152, 172) configured to engage the self-fixating tip, and the insertion tool comprising an extension guard (84, 86, 94, 95) comprising a distal surface (96, 97, 156, 176) extending from the shaft to a distal surface tip spaced laterally from the shaft such that when the needle distal end engages the self-fixating tip to allow the needle to push the self-fixating tip for surgical installation, the distal surface is located on a proximal side of the trailing surface between the base and the lateral extension tip to reduce the force required to move the self-fixating tip in a proximal direction through muscle tissue, and wherein a cross sectional profile of the distal surface (96, 97, 156, 176) corresponds to a cross sectional profile of the trailing surface (26, 104, 105, 158, 178) of the lateral extension. the implant comprising a support portion, an extension portion, and a self-fixating tip (10, 100, 154, 174) fixedly connected to an end of the extension portion, the self-fixating tip comprising a base (12, 101) comprising a proximal base end and a distal base end, the proximal base end being connected to the extension portion, and a lateral extension (20, 102, 103) extending from the base along a length of the base between the proximal base end and the distal base end, the lateral extension comprising a trailing surface (26, 104, 105, 158, 178) extending between the base and a tip of the lateral extension spaced from the base, a base (12, 101) comprising a proximal base end and a distal base end, the proximal base end being connected to the extension portion, and a lateral extension (20, 102, 103) extending from the base along a length of the base between the proximal base end and the distal base end, the lateral extension comprising a trailing surface (26, 104, 105, 158, 178) extending between the base and a tip of the lateral extension spaced from the base, the insertion tool comprising a handle, a needle (126, 170) extending from the handle, the needle comprising a shaft comprising a proximal end attached to the handle and a distal end that includes a needle tip (80, 152, 172) configured to engage the self-fixating tip, and the insertion tool comprising an extension guard (84, 86, 94, 95) comprising a distal surface (96, 97, 156, 176) extending from the shaft to a distal surface tip spaced laterally from the shaft such that when the needle distal end engages the self-fixating tip to allow the needle to push the self-fixating tip for surgical installation, the distal surface is located on a proximal side of the trailing surface between the base and the lateral extension tip to reduce the force required to move the self-fixating tip in a proximal direction through muscle tissue, and wherein a cross sectional profile of the distal surface (96, 97, 156, 176) corresponds to a cross sectional profile of the trailing surface (26, 104, 105, 158, 178) of the lateral extension. a handle, a needle (126, 170) extending from the handle, the needle comprising a shaft comprising a proximal end attached to the handle and a distal end that includes a needle tip (80, 152, 172) configured to engage the self-fixating tip, and a proximal end attached to the handle and a distal end that includes a needle tip (80, 152, 172) configured to engage the self-fixating tip, and the insertion tool comprising an extension guard (84, 86, 94, 95) comprising a distal surface (96, 97, 156, 176) extending from the shaft to a distal surface tip spaced laterally from the shaft such that when the needle distal end engages the self-fixating tip to allow the needle to push the self-fixating tip for surgical installation, the distal surface is located on a proximal side of the trailing surface between the base and the lateral extension tip to reduce the force required to move the self-fixating tip in a proximal direction through muscle tissue, and wherein a cross sectional profile of the distal surface (96, 97, 156, 176) corresponds to a cross sectional profile of the trailing surface (26, 104, 105, 158, 178) of the lateral extension.