A system includes surgical instruments, implantable articles and procedural steps for stabilizing, introducing, delivering and affixing an absorbable or permanent biocompatible implantable graft into a patient. The instruments, implantable articles and procedural steps can be employed in transvaginal pelvic reconstructive applications to re-suspend the anterior, posterior and / or apical vaginal compartments including the bladder, rectum, bowels (i.e., enterocele) and vaginal apex with or without a uterus in situ. The surgical instruments can be incorporated into a surgical kit having an implantable graft, a graft-retaining clamp, a tacker guide, a tacker device, an affixing anchor, a retractor and a fenestrated spatula.