A pelvic implant useful to treat a condition of urinary incontinence, the implant comprising a tissue support portion, a first extension portion, and a second extension portion, a first adjusting mechanism comprising a first line at the first extension portion, the first line extending between the tissue support portion and the first extension portion, the first line being capable of being tightened to adjust a length of the first extension portion, and a first line holder that engages the first line at a location between the tissue support portion and the first extension portion, the first line holder being capable of maintaining an adjusted length of the first extension portion, and a first tether securely attached to the first line holder, wherein pulling the first tether can cause the first line holder to move along the first line in a direction toward the tissue support portion to reduce a distance between the first extension portion and the tissue support portion, a second adjusting mechanism comprising a second line at the second extension portion, the second line being capable of being tightened to adjust a length of the second extension portion, a second line holder that engages the second line and the second line holder is capable of maintaining an adjusted length of the second extension portion, a self-fixating tip at a distal end of the first extension portion, and a self-fixating tip at a distal end of the second extension portion. a tissue support portion, a first extension portion, and a second extension portion, a first adjusting mechanism comprising a first line at the first extension portion, the first line extending between the tissue support portion and the first extension portion, the first line being capable of being tightened to adjust a length of the first extension portion, and a first line holder that engages the first line at a location between the tissue support portion and the first extension portion, the first line holder being capable of maintaining an adjusted length of the first extension portion, and a first tether securely attached to the first line holder, wherein pulling the first tether can cause the first line holder to move along the first line in a direction toward the tissue support portion to reduce a distance between the first extension portion and the tissue support portion, a first line at the first extension portion, the first line extending between the tissue support portion and the first extension portion, the first line being capable of being tightened to adjust a length of the first extension portion, and a first line holder that engages the first line at a location between the tissue support portion and the first extension portion, the first line holder being capable of maintaining an adjusted length of the first extension portion, and a first tether securely attached to the first line holder, wherein pulling the first tether can cause the first line holder to move along the first line in a direction toward the tissue support portion to reduce a distance between the first extension portion and the tissue support portion, a second adjusting mechanism comprising a second line at the second extension portion, the second line being capable of being tightened to adjust a length of the second extension portion, a second line holder that engages the second line and the second line holder is capable of maintaining an adjusted length of the second extension portion, a second line at the second extension portion, the second line being capable of being tightened to adjust a length of the second extension portion, a second line holder that engages the second line and the second line holder is capable of maintaining an adjusted length of the second extension portion, a self-fixating tip at a distal end of the first extension portion, and a self-fixating tip at a distal end of the second extension portion.