Adjustable sling and method of treating pelvic conditions

A system for providing support to body tissue to alleviate incontinence, comprising:

• an elongated incontinence sling including a central support portion adapted to be positioned to support a urethra or an anus having first and second sling end portions, and a first adjustment gap intermediate the first sling end portion and the central support portion and a second adjustment gap intermediate the second sling end portion and the central support portion, the first and second sling end portions having tissue anchors;
• at least two first tension members extending across the first adjustment gap to operatively connect the central support portion and the first sling end portion to provide selective tensioning adjustment;
• and
• at least two second tension members extending across the second adjustment gap to operatively connect the central support portion and the second sling end portion to provide selective tensioning adjustment.