The conjunction of Lilith and the North Node shows that the theme of shadow, forbidden desire, shame, temptation, inner wildness, resentment, power, and honesty with dark motives becomes part of the future path. This is not an easy aspect, because Lilith next to the North Node does not allow a person to move forward only through a convenient image of themselves. They will have to see what they usually hide, deny, or justify.
Interpretation