This paper presents a configuration and sizing design optimization method for large deformation planar compliant mechanisms, using a continuum-based adjoint design sensitivity analysis (DSA) approach for built-up structures. Under the total Lagrangian formulation, the Jaumann strain formulation using the discretization of the global displacement field is employed to account for the finite deformation of arbitrarily curved Kirchhoff beams. In multipatch models, a rotational junction continuity condition is imposed using penalty and Lagrange multiplier methods. The developed adjoint DSA method can handle nonconservative loading conditions, which lead to asymmetry of tangent operator. Performance measures are displacements and rotation angles, and neutral axis configuration and cross-sectional thickness are considered as design variables. Also, analytical design sensitivity expressions for the rotation continuity condition are derived. Various compliant mechanisms including path-generators and an angular rotator are synthesized to demonstrate the applicability of the proposed method.