With the increasing severity of climate change, Carbon Capture, Utilization, and Storage (CCUS) technology has become essential for reducing atmospheric CO2. Marine carbon sequestration, which stores CO2 in seabed geological structures, offers advantages such as large storage capacity and high stability. Cryogenic hoses are critical for the ship-to-ship transfer of liquid CO2 from transportation vessels to offshore carbon sequestration platforms, but their design methods and mechanical analysis remain inadequately understood. This study reviews existing cryogenic hose designs, including reinforced corrugated hoses, vacuum-insulated hoses, and composite hoses, to assess their suitability for liquid CO2 transfer. Based on CO2’s physicochemical properties, a conceptual composite hose structure is proposed, featuring a double-spring-supported internal composite hose, thermal insulation layer, and outer sheath. Practical recommendations for material selection, corrosion prevention, and monitoring strategies are provided to improve flexibility, pressure resistance, and thermal insulation, enabling reliable long-distance tandem transfer. A mechanical analysis framework is developed to evaluate structural performance under conditions including mechanical loads, thermal stress, and dynamic responses. This manuscript includes an introduction to the background, the methodology for data collection, a review of existing designs, an analysis of CO2 characteristics, the proposed design methods, the mechanical analysis framework, a discussion of challenges, and the conclusions.