The production of freshwater from seawater is a growing necessity throughout the world. In arid areas with high temperature and salinity seawater, thermal desalination and power plants (dual-purpose/cogeneration plants) are often employed for the production of power and water. In other areas, reverse osmosis is commonly employed. However, both technologies are inherently challenged with economic and performance issues. As a response to these issues, hybrid desalination, that is, employing both thermal and mechanical desalination methods, has been increasingly utilized over thermal desalination plants alone. In this article, an overview of thermal desalination, seawater reverse osmosis (SWRO), and co-generation of power and water is presented, specifically with regards to the motivation for utilizing hybrid plants, for example, process limitations and areas of potential improvement. In addition, a review of the considerations for design and economics of hybrid desalination plants is presented, for example, existing system configurations, thermoeconomic analyses, and improvements of seawater pretreatment are discussed. Finally, studies for the optimization of hybrid desalination systems are reviewed. Specifically, the use of objective functions, continuous optimization methods, and optimal hardware configurations are discussed with respect to the key considerations of hybrid desalination plants.