Those darn lily beetles
by Theresa S
(Mississauga, Ontario, Canada)
P.S. We're in zone 4
Doug says you aren't going to get rid of this beetle once you have it. Fact of life. The only way to eliminate it is to eliminate lilies from your garden. And as soon as you put them back in after a few years, the beetles will be back from surrounding lands/neighbor gardens etc.
And yes, neem and handpicking seem to be the options of choice. Some gardeners are reporting some success with diatomaceous earth and rotenone but this isn't universal.