A surgical implant and a surgical apparatus for implanting the implant into a subject. The apparatus includes an insertion needle, a retainer fitted over the needle, and a handle for manipulating the needle. The implant includes a mesh sling, a distal anchor, and a proximal anchor, with the mesh held to the needle by the retainer during implantation. In use, the needle is inserted into the subject, the distal and proximal anchors are set, and the retainer is removed to deploy the mesh into place. A tensioning assembly can be manipulated to tension the mesh. In some embodiments, a lumen in the needle is used to deliver an anesthetic to the surgical site and/or an epoxy to the mesh to form anchors.