Abstract: Repair implant systems for treating pelvic prolapse including vaginal vault suspension devices and methods are provided. Embodiments of the system can include one or more eyelet and/or locking eyelet devices and one or more spanning members, e.g., suture members, attached thereto. Ends of the suture members are attached to the vaginal vault. An extension member can be provided with a corresponding anchor, with the extension member adjustably engaged with an eyelet to provide the desired vault suspension.