Coherent optical OFDM (CO-OFDM) has recently been proposed and the proof-of-concept transmission experiments have shown its extreme robustness against chromatic dispersion and polarization mode dispersion. In this paper, we first review the theoretical fundamentals for CO-OFDM and its channel model in a 2×2 MIMO-OFDM representation. We then present various design choices for CO-OFDM systems and perform the nonlinearity analysis for RF-to-optical up-converter. We also show the receiver-based digital signal processing to mitigate self-phase-modulation (SPM) and Gordon-Mollenauer phase noise, which is equivalent to the mid-span phase conjugation.