The preferred methods and devices described herein create more secure anchors in one or more segments of soft tissue that can be used as anchor points for other procedures. The device draws tissue into a fold, cuts an opening through the tissue fold and inserts an element alongside the outer walls of the tissue. In one aspect the element includes an anchor coupled to the element. The device then fastens the tissue walls and element together so that the element is sandwiched between the outer walls of the tissue and the anchor resides along the inner walls of the tissue.