An implant including a vaginal portion having a length, width, first and second ends with a central region positioned therebetween, and a sacral portion having a length, width, first end and second end. The first end of the sacral portion is coupled to the central region of the vaginal portion so that the width of the first end extends substantially perpendicularly to the length of the vaginal portion. The implant is made of the same substantially flat, planar mesh having an anisotropic knitted or woven structure that has a greater stiffness in a first direction than a second direction. The mesh is aligned such that the first direction is aligned in a longitudinal direction of the sacral portion and the mesh of the vaginal portion is aligned such that the stiffness in a longitudinal direction of the vaginal portion is less than that of the sacral portion.