A medical device (100, 500, 528) for use in a transvaginal implant procedure, comprising: a handle (104, 504, 534) having a proximal end and a distal end, the handle including an actuator configured to be manipulated by an operator of the medical device; a wire form (542, 600); an elongated shaft member (106, 506, 536) having a diameter, the elongated shaft member defining a lumen and extending from the distal end of the handle, the diameter being minimally greater than a diameter of the wire form (542, 600) extending longitudinally within the elongated shaft member, the elongated shaft member extending along a longitudinal axis when the elongated shaft member is disposed in a straight or a substantially straight configuration; and a head (108, 516, 538) including a proximal end extending over a distal end of the elongated shaft member and the distal end of the elongated shaft member extending into and being disposed within the proximal end of the head, the head having a length measured along the longitudinal axis, a maximum width measured in a first direction transverse to the longitudinal axis, and a thickness measured in a second direction perpendicular to the first direction, the length being greater than the maximum width and the maximum width being greater than the thickness, the thickness being greater than the diameter of the elongated shaft member, the head including a needle carrier (130, 530, 544) configured to receive a needle that can be coupled to a suture or to a portion of a pelvic floor repair implant, the head further including a needle catch (124, 526, 540) and a needle exit port (126, 528, 543), at least a portion of the needle carrier exiting the needle exit port when the operator manipulates the actuator, the needle catch configured to receive and retain the needle carried by the needle carrier. a handle (104, 504, 534) having a proximal end and a distal end, the handle including an actuator configured to be manipulated by an operator of the medical device; a wire form (542, 600); an elongated shaft member (106, 506, 536) having a diameter, the elongated shaft member defining a lumen and extending from the distal end of the handle, the diameter being minimally greater than a diameter of the wire form (542, 600) extending longitudinally within the elongated shaft member, the elongated shaft member extending along a longitudinal axis when the elongated shaft member is disposed in a straight or a substantially straight configuration; and a head (108, 516, 538) including a proximal end extending over a distal end of the elongated shaft member and the distal end of the elongated shaft member extending into and being disposed within the proximal end of the head, the head having a length measured along the longitudinal axis, a maximum width measured in a first direction transverse to the longitudinal axis, and a thickness measured in a second direction perpendicular to the first direction, the length being greater than the maximum width and the maximum width being greater than the thickness, the thickness being greater than the diameter of the elongated shaft member, the head including a needle carrier (130, 530, 544) configured to receive a needle that can be coupled to a suture or to a portion of a pelvic floor repair implant, the head further including a needle catch (124, 526, 540) and a needle exit port (126, 528, 543), at least a portion of the needle carrier exiting the needle exit port when the operator manipulates the actuator, the needle catch configured to receive and retain the needle carried by the needle carrier.