Another option that has not been mentioned is just creating the unit test class as a child of the object that you are testing. NUnit Example:
[TestFixture]
public class UnitTests : ObjectWithPrivateMethods
{
[Test]
public void TestSomeProtectedMethod()
{
Assert.IsTrue(this.SomeProtectedMethod() == true, "Failed test, result false");
}
}
This would allow easy testing of private and protected (but not inherited private) methods, and it would allow you to keep all your tests separate from the real code so you aren't deploying test assemblies to production. Switching your private methods to protected methods would be acceptable in a lot of inherited objects, and it is a pretty simple change to make.
HOWEVER...
While this is an interesting approach to solving the problem of how to test hidden methods, I am unsure that I would advocate that this is the correct solution to the problem in all cases. It seems a little odd to be internally testing an object, and I suspect there might be some scenarios that this approach will blow up on you. (Immutable objects for example, might make some tests really hard).
While I mention this approach, I would suggest that this is more of a brainstormed suggestion than a legitimate solution. Take it with a grain of salt.
EDIT: I find it truly hilarious that people are voting this answer down, since I explicitly describe this as a bad idea. Does that mean that people are agreeing with me? I am so confused.....